This sagittal contrast-enhanced T1 MRI shows a patient with:

Question

Quizplus · Accepted Answer

The contrast-enhanced T1 image above shows hypointense cerebrospinal fluid almost completely filling the sella and a thin pituitary compressed along the floor of the sella, which is the classic appearance of "empty sella syndrome" associated with chronic headache and with pseudotumor cerebri causing papilledema. Visual field defects are not an option because no suprasellar mass is shown. Lower extremity weakness and facial paresthesias are incorrect options because there is no lesion shown that would cause those symptoms.

This Sagittal Contrast-Enhanced T1 MRI Shows a Patient With