The severity of empty sella syndrome varies among individuals and can be answered using the following formats 1, 2, and 3:
1. General situation: In most cases, empty sella syndrome is not a serious disease. If the patient does not experience symptoms of nerve compression or nerve damage, special treatment is generally not required. Primary empty sella syndrome may present with headache, visual impairment, and mild pituitary dysfunction, but the symptoms are usually mild and do not cause serious consequences.
2. Serious situation: Some patients may have a more severe condition due to pituitary adenoma combined with partial empty sella turcica. In this case, pituitary adenomas may compress their own nerves, leading to impaired nerve function and symptoms such as numbness, confusion, and fainting. These patients need to seek medical attention promptly and undergo microsurgical removal of pituitary adenomas. If patients experience severe symptoms during the observation period, such as worsening headache, dizziness, nausea, vomiting, and even significant changes in vision and field of view, as well as pressure on the hypothalamus, they also need to seek medical attention immediately and may require surgical treatment.
3. Treatment and Prevention: For patients with mild symptoms, there is generally no need for special treatment, but regular observation of changes in the condition is necessary. If there are serious symptoms such as obvious visual impairment, surgical exploration is required, and adhesion release surgery, pituitary adenoma resection surgery, etc. should be performed according to the specific situation. Patients with secondary empty sella syndrome should undergo timely examination to identify the cause and receive targeted treatment to avoid worsening of the condition.
The severity of empty sella syndrome needs to be evaluated based on the specific situation of the patient. Most patients have mild symptoms and do not need to worry excessively; But some patients may require active treatment due to the severity of their condition. It is recommended that patients undergo regular medical check ups to promptly detect and address any changes in their condition.