Turkish saddle: what is it, why is it empty?
Is it possible to guess what a “Turkish saddle” is? Far from medicine people are unlikely to think that it is somewhere in the human body. But doctors, as can be seen on the example of the names of the bones in the middle ear ("stirrup", "hammer" and "anvil"), are often used for certain names figurative comparison. That Turkish saddle got its name for what looks like the original of its shape. To some, it still resembles a butterfly. It is part of the skull, located at the center of its base and is connected to most bones. It is here that the center of the endocrine system is located - the pituitary and hypothalamus. Therefore, any changes in this area often have serious consequences.
Empty turkish saddle
In fact, it is not empty, even if the word is clearly written in the map. But instead of fully enclosing the pituitary gland, it will be partially filled with cerebrospinal fluid - the spinal fluid - while the pituitary gland itself will be reduced for some reason.There are primary and secondary syndrome empty Turkish saddle (PTS), each of which, in turn, is divided into complicated and uncomplicated options. Primary PTS is due to congenital changes in the bone diaphragm. In general, this phenomenon is quite common even among healthy people, and not all, for one reason or another, will turn to doctors and learn about this particular feature. Most often, this diagnosis is given to middle-aged women with an increased body mass index. The occurrence of secondary PTS syndrome is often due to the fact that the enlarged pituitary gland is reduced in size after the treatment, while the increased size of the Turkish saddle does not change. And then voids are formed, filled with liquor.
Symptomatology, diagnosis, treatment
To find that the Turkish saddle is "empty", you can almost by accident. For example, this may occur during magnetic resonance imaging or radiography, which is carried out on a completely different matter. The patient may not have absolutely no symptoms and health problems, even if he was diagnosed with an empty Turkish saddle.
Treatment of the primary syndrome, as a rule, is not required.In women with this diagnosis, FSH and LH levels can be reduced, but often this is not due to pituitary dysfunction. Occasionally, hormone replacement therapy is prescribed. To confirm the suspicion of the presence of primary TCP syndrome, it is enough for an endocrinologist to send a patient to donate blood for sex hormones and thyroid hormones. Radiography will confirm the diagnosis. The secondary syndrome manifests itself more often and requires hormonal treatment almost always. In rare cases, you even have to do the plastic back of the saddle, apply antihypertensives and rehydrating drugs. Other therapy is prescribed depending on the presence of certain violations related to the TCP.