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Neurology  (Expert Forum)
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Can Empty Sella Syndrome, Grand Mall Seizures and Heart problems be related?
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Can Empty Sella Syndrome, Grand Mall Seizures and Heart problems be related?

by Cheryl__0__0, Dec 13, 1998 12:00AM

  I am incredibly healthy (other than overweight) until recently.  Last year Dec. 97 was taken to hospital with chest pains, Cardiac Catheter showed a very small blockage in 1 artery.  Saw this as a big red flag and got on exercise program with healthy eating.  Four months ago I had same crushing chest pain, but this time I blacked out and according to husband (who witnessed the event) I displayed, what we later were told by a neurologist was possibly a grand mal seizure.  An EEG was done and an MRI ordered.  EEG was abnormal and MRI showed an empty sella. Am now taking Dilantin for siezures and have been refered to Endocrinologist. Just had lots of blood drawn to check assorted hormone levels, but no results yet.
  Is it possible that all of these things could be somehow connected?  Or is this just a nasty set of unrelated health problems?  
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Dear Cheryl:
An empty sella is not a cause of seizures. It is, however, quite important to determine the cause of new seizures in an adult. The EEG (if abnormal)helps determine where the seizures arise from. A state-of-the-art MRI could determine what exactly (tumor, vascular malformation, dysplasia, or sclerosis) is causing the seizure, at least in a large proportion of cases.
The empty sella in your case may be an incidental finding, or a "red herring".




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