Syndrome de la selle turcique vide : Questions médicales fréquentes
Nom anglais: Empty Sella Syndrome
Descriptor UI:D004652
Tree Number:C19.700.320
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"description": "Comment diagnostique-t-on le syndrome de la selle turcique vide ?\nQuels tests hormonaux sont utilisés dans le diagnostic ?\nLe syndrome peut-il être confondu avec d'autres conditions ?\nQuels signes cliniques peuvent indiquer ce syndrome ?\nQuelle est l'importance de l'imagerie dans le diagnostic ?",
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"description": "Quelles complications peuvent survenir ?\nLe syndrome peut-il entraîner des problèmes de vision ?\nY a-t-il un risque accru de tumeurs ?\nLes complications sont-elles réversibles ?\nComment les complications sont-elles gérées ?",
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"@type": "Question",
"name": "Comment diagnostique-t-on le syndrome de la selle turcique vide ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic se fait par IRM cérébrale montrant une selle turcique vide."
}
},
{
"@type": "Question",
"name": "Quels tests hormonaux sont utilisés dans le diagnostic ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests de fonction hypophysaire mesurent les niveaux d'hormones comme le cortisol."
}
},
{
"@type": "Question",
"name": "Le syndrome peut-il être confondu avec d'autres conditions ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il peut être confondu avec des tumeurs hypophysaires ou des malformations."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques peuvent indiquer ce syndrome ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des maux de tête, des troubles visuels ou des déséquilibres hormonaux peuvent indiquer le syndrome."
}
},
{
"@type": "Question",
"name": "Quelle est l'importance de l'imagerie dans le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'imagerie permet de visualiser la selle turcique et d'évaluer l'hypophyse."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes courants du syndrome ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent des maux de tête, des troubles de la vision et des déséquilibres hormonaux."
}
},
{
"@type": "Question",
"name": "Le syndrome peut-il causer des problèmes hormonaux ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il peut entraîner des déficits hormonaux, affectant la croissance et le métabolisme."
}
},
{
"@type": "Question",
"name": "Les symptômes sont-ils toujours présents ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, certains patients peuvent être asymptomatiques malgré une selle turcique vide."
}
},
{
"@type": "Question",
"name": "Comment les symptômes varient-ils d'un patient à l'autre ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes peuvent varier en fonction de la taille de l'hypophyse et des hormones affectées."
}
},
{
"@type": "Question",
"name": "Les troubles de la mémoire sont-ils associés au syndrome ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains patients rapportent des troubles de la mémoire liés à des déséquilibres hormonaux."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir le syndrome de la selle turcique vide ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il n'existe pas de méthode de prévention spécifique pour ce syndrome."
}
},
{
"@type": "Question",
"name": "Quels facteurs peuvent réduire le risque ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir une bonne santé générale et surveiller les troubles hormonaux peut aider."
}
},
{
"@type": "Question",
"name": "Les examens réguliers sont-ils recommandés ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des examens réguliers peuvent aider à détecter des problèmes hormonaux précocement."
}
},
{
"@type": "Question",
"name": "Les femmes enceintes doivent-elles être surveillées ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une surveillance peut être nécessaire en raison des changements hormonaux pendant la grossesse."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux influencent-ils le risque ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents familiaux de troubles hormonaux peuvent augmenter le risque de développer le syndrome."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal du syndrome ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement dépend des symptômes; des hormones peuvent être prescrites si nécessaire."
}
},
{
"@type": "Question",
"name": "La chirurgie est-elle nécessaire dans tous les cas ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, la chirurgie est rare et réservée aux cas avec complications ou tumeurs."
}
},
{
"@type": "Question",
"name": "Comment gère-t-on les maux de tête associés ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques ou des traitements spécifiques peuvent être utilisés pour soulager les maux de tête."
}
},
{
"@type": "Question",
"name": "Les traitements sont-ils efficaces ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La plupart des traitements hormonaux sont efficaces pour gérer les symptômes."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements alternatifs disponibles ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des approches alternatives comme la thérapie physique peuvent aider, mais peu de preuves existent."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des complications incluent des troubles visuels, des déficits hormonaux et des crises d'épilepsie."
}
},
{
"@type": "Question",
"name": "Le syndrome peut-il entraîner des problèmes de vision ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une pression sur le nerf optique peut causer des troubles de la vision."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque accru de tumeurs ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le syndrome lui-même n'augmente pas le risque de tumeurs, mais des tumeurs peuvent coexister."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles réversibles ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines complications peuvent être réversibles avec un traitement approprié."
}
},
{
"@type": "Question",
"name": "Comment les complications sont-elles gérées ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications sont gérées par des traitements hormonaux et des interventions chirurgicales si nécessaire."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque du syndrome ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent des antécédents de traumatisme crânien, d'hypertension intracrânienne."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque de développer le syndrome ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le syndrome est plus fréquent chez les femmes d'âge moyen et les personnes âgées."
}
},
{
"@type": "Question",
"name": "Les troubles hormonaux préexistants augmentent-ils le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des troubles hormonaux comme l'hyperprolactinémie peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "Le surpoids est-il un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le surpoids et l'obésité peuvent être des facteurs de risque pour le syndrome."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux jouent-ils un rôle ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de maladies endocriniennes peuvent augmenter le risque."
}
}
]
}
]
}
Since the number of patients diagnosed with Down syndrome seeking orthodontic treatment is increasing, clinicians could contribute by applying diagnostic modalities used frequently in the orthodontic ...
In this retrospective study, archive records of 24 individuals with Down syndrome were compared to 48 healthy controls matched for age and gender. Parameters such as sella anterior, midpoint, and post...
Statistically significant differences were found for sella anterior height, sella midpoint height, sella posterior height, sella maximum height, sella length, and sella area. All the aforementioned va...
Subjects with Down syndrome presented significantly increased sella turcica dimensions as well statistically significant differences in shape compared to healthy controls....
Empty nest syndrome (ENS) is parents' experience to their children leaving home. Considering the lack of a clear definition of this concept and its context-based nature, this study aimed to define the...
A three-phase concept analysis using a hybrid model was used. In the theoretical (first) phase, a literature review was conducted using Scopus, WOS, PubMed, ProQuest, Irandoc, Research.idml, Magiran, ...
The theoretical phase created an operational definition to guide the fieldwork phase. The fieldwork phase resulted in the emergence of six themes. The final analysis phase formulated a comprehensive d...
Exploration of the concept of ENS can be the basis for designing a model or theoretical framework, devising measurement instruments for the concept and its consequences, and developing programs to inc...
Inferior meatus augmentation by injection or implants is one of the treatments for empty-nose syndrome (ENS), but levels of evidence of efficacy are low. We present the technique and evaluate our expe...
Ten of the 11 patients showed a decrease in overall ENS6Q score (P=0.0058); 6 had a final ENS6Q score<11. Ten were satisfied with the procedure, but remained symptomatic. The procedure did not result ...
These encouraging results confirm the data in the literature suggesting that fat injection improves symptomatology in empty nose syndrome. However, like other minimally invasive approaches to limit na...
Diagnosis of empty nose syndrome (ENS) relies on the ENS six-item questionnaire (ENS6Q) with a score of ≥11, followed by a "positive" cotton test yielding seven-point reduction from baseline ENS6Q sco...
Individuals diagnosed with ENS underwent the SENSE test, a single-blinded, four-step, office-based cotton test, without topical anesthesia or decongestants. Conditions included: (1) placebo/no cotton ...
Forty-eight ENS patients were included. Twenty-nine percent demonstrated a placebo effect (p < 0.001), 40.4% had a positive response to complete cotton-blockade (p < 0.001), 64.4% to septum-placed cot...
The SENSE test offers further insight into subtleties of nasal breathing experienced by ENS patients. The placebo effect can be prominent and important to consider with individual patients. While most...
We aimed to evaluate computed tomography (CT) images of patients with empty nose syndrome (ENS), investigate the impact of reconstruction surgery on sinus inflammation, and identify the optimal airspa...
We conducted a retrospective case series analysis, identifying and enrolling patients with ENS with perioperative CT findings. The clinical characteristics of the participants were collected, and the ...
Twenty patients with ENS and perioperative CT images were enrolled. The mean total mLM CT score and all subsite scores showed no significant changes after surgery. The Empty Nose Syndrome 6-item Quest...
There was no significant difference in sinus inflammation between preoperative and postoperative CT evaluations. The anterior airspace diameters were significantly associated with ENS6Q and SNOT-25 sc...
4 Laryngoscope, 2023....
To conduct a systematic review and meta-analysis of published articles to assess the impact of inferior turbinate/meatus augmentation in patients diagnosed with empty nose syndrome (ENS)....
PubMed, Cochrane database, Embase, Web of Science, SCOPUS, and Google Scholar....
Six databases were searched to December 2022. We retrieved studies evaluating improvements in refractory ENS-related symptoms based on various patient-reported outcome measures after inferior turbinat...
As a result of meta-analysis, Sinonasal Outcome Test, Empty Nose Syndrome 6-Item Questionnaire (ENS6Q), and depression scores were measured at 1 week; 1, 3, and 6 months; and later than 12 months afte...
These data and analysis suggest that performing inferior turbinate/meatus augmentation on ENS patients may improve not only nasal symptom scores but also accompanying psychological problems such as an...
Patients with empty nose syndrome usually suffer from paradoxical nasal congestion, nasal dryness, epistaxis and suffocation. Conservative management is general option for the empty nose syndrome. How...
PubMed, Embase, Scopus, Cochrane Register of Controlled Trials, and Google Scholar were searched from the earliest date provided in the database until December 2022. In the studies, treatment outcomes...
Twenty-eight studies were analyzed. Submucosal injectable materials, allografts/xenografts/cadaveric implants, autologous implants, and synthetic implants were used. Among them, polyethylene implant w...
Several surgical options and recent tissue regeneration techniques have shown its positive efficacy in treating empty nose syndrome. However more detailed investigations with a larger number and a ran...
Empty nose syndrome (ENS) is a complex condition characterized by symptoms such as dyspnea, nasal discomfort, and emotional challenges. This study aimed to evaluate functional exercise capacity and pe...
Empty nose syndrome (ENS) is an underdiagnosed but burdensome clinical condition. Studies that have addressed the impact of remnant inferior turbinate volume (ITV) on ENS are scarce. We aimed to evalu...
All the enrolled patients underwent the following subjective assessments: the ENS 6-Item Questionnaire (ENS6Q), Sino-Nasal Outcome Test-25 (SNOT-25), Beck Depression Inventory-II (BDI-II) and Beck Anx...
Overall, 54 patients met the inclusion criteria. The ITV was positively correlated with the ENS6Q score and domain of ENS symptoms in SNOT-25. Neither BDI-II nor BAI scores had a significant correlati...
Symptoms were paradoxically worse in ENS patients with greater remnant ITV, and distinct morphological phenotypes in the nasal cavities may result in different presentations. Further investigation int...
3 Laryngoscope, 2024....
Empty pelvis syndrome (EPS) has been defined as a complications arising as a sequel of empty space created after extensive pelvic surgery involving perineal resection. However this definition has been...
To assess the clinical burden of empty pelvis syndrome in patients undergoing abdominoperineal resection (APR), posterior exenteration (PE), or total pelvic exenteration (TPE) for low rectal cancers....
This is a retrospective audit from a high-volume tertiary cancer center in India. Patients who underwent APR, PE, or TPE between the years 2013 to 2021 were screened and analyzed for incidence, presen...
A total of 1224 patients' electronic medical records were screened for complications related to empty pelvis. The overall incidence of EPS was 95/1224 (7%) with 55/1024 (5%) in APR, 8/39 (20.5%) in PE...
EPS is a significant clinical problem that can lead to major morbidity, especially after exenterative surgeries warranting effective preventive strategies....
