The brain remains a mystery to humans. However, science advances, day after day, in search of new discoveries that clarify its functioning, today literature is becoming more extensive and the knowledge we have about the brain is broader and more accurate. empty stool syndrome.
What is a Turkish saddle, also called a Turkish saddle?Many nod their heads pretending to know what it is, others will think: do we have something with that name in mind?This particular name comes from the Latin “Turcica seal”. It is a saddle-shaped structure.
- It is a brain structure occupied almost entirely by the pituitary gland; it is located just below the base of the brain; when the pituitary gland flattens or narrows.
- The area appears empty; Besides.
- You don’t see it on the MRI.
Although it’s not really empty, it’s filled with cerebrospinal fluid, which surrounds the spinal cord and brain. When empty stool syndrome (STV) occurs, cerebrospinal fluid leaks into Turkish faeces and puts strong pressure on the pituitary gland, flattening or shrinking it. there are two types of syndrome:
Primary empty stool syndrome (TSV) is still under study, in this case no previous pathological processes have been found to date. Neither its pathogenesis nor its clinical-surgical implications are clear; Discussions, therefore, remain open, however, there is relevant data that gradually sheds more light on the case.
Secondary empty Turkish stool syndrome (STVS) is caused by a pathological process and may or may not be similar to a tumor. In most cases it is an adenoma (benign epithelial tumor) that can affect; however, this involution occurs spontaneously or with treatment.
As a result, the arachnoid cistern at the base of the skull is introduced into the empty space inside the Turkish chair.
González-Tortosa (2009) notes that patients are usually between 40 and 50 years of age, in addition, there is a predominance of women and a strong correlation with obesity, high blood pressure affects 23% of cases and 16. 6% of these women. they’re multiparas. They also have symptoms of headaches. Another characteristic symptom is idiopathic intracranial hypertension that causes pulsating ringing in the ears.
On the other hand, there may also be visual disturbances, such as decreased visual acuity or blurred vision. Mental changes, such as anxiety, behavioral disorders, and dysthymia, may also occur. For endocrine symptoms, menstrual abnormalities and sexual impairment can occur in men.
Hypopituitarism is a disease of the pituitary gland that causes abnormal secretion of the amount of some or all of its hormones. Various hormones include prolactin, oxytocin, growth hormone, antidiuretic hormone, luteinizing hormone, etc.
The Necochea team (1998) notes that the SER may be one of the causes of hypopituitarism; other common causes are intrasal or parastellar tumors, such as pituitary adenomas, craniopharynithoms, meningiomas, and lymphomas.
The authors of the research also highlight the cause of ischemic pituitary necrosis and pituitary ischemia due to vascularitis or diabetes mellitus.
On the other hand, this can also occur from an infection of the pituitary gland, these infections can be caused by tuberculosis, brucellosis, syphilis and fungi, or by other diseases such as sarcoidosis, hemochromatosis and histicytosis.
The Gonzalez-Fernández team (2009) found symptomatic differences between adults and children in the SUV S. One of these differences is that, in children, it does not affect obese people. Nor is there a clear gender predominance and Turkish saddle. “it’s not enlarged. ” This suggests that a different pathogenesis may occur in these cases.
As the authors point out, another difference is the hypothalamus-pituitary (HH) function. In general, HH hormone function is not affected in adult patients, although it is not absolutely free to find it. The authors place special emphasis on the study of HH. function, as it occurs more often in children than in adults.