Empty sella turcica in intracranial sarcoidosis. Pituitary insufficiency, primary polydipsia, and changing neuroradiologic findings
R. Chiang, M. C. Marshall Jr, P. M. Rosman, G. Hotson, E. Mannheimer and E. Z. Wallace
A 37-year-old man with visual loss was found to have hypopituitarism and
primary polydipsia associated with sarcoidosis. Neuroradiologic studies
demonstrated a dramatic evolution of CNS lesions, including a left thalamic
infarct, an enhancing suprasellar mass, and ultimately an empty sella
turcica. The patient has been clinically stable in spite of these changes.
This case is likely to be the first reported of CNS sarcoidosis with an
empty sella turcica documented by computed tomography.
