Empty sella has been associated with pseudotumor cerebri, hypopituitarism, visual field defects, and headache.
1) Headache is the most common symptom. Some 70% of patients complain about pain. Pulsations of CSF against the dura of the sella could be responsible.
2) Visual alterations may be due to traction on the chiasm or involvement of chiasmal blood vessels. Incidence is about 20% in primary empty sella syndrome. In secondary empty sella syndrome the incidence is much higher because of the underlying sellar pathology. Clinically the patients complain about clouding of vision, color vision defects, photophobia, and various visual field defects (bitemporal hemi-, or quadrantanopia, generalized filed constriction, quadrine constriction, central scotoma, homonymous hemiachromatopsia mimicking the lesion in patients with a suprasellar pituitary tumour. On fundoscopy changes to the retina and papilledema can be observed. The symptoms sometimes resemble a low pressure glaucoma thus necessitating detailed ophthalmologic examination with particular attention being paid to intraocular pressure and optic disc appearance.
Your symptoms are due to hypopituitarism related to Empty sella syndrome
Because the pituitary gland stimulates other glands, a deficiency in pituitary hormones often reduces the amount of hormones those other glands produce. Therefore, a doctor considers the possibility of pituitary malfunction when investigating a deficiency in another gland, such as the thyroid or adrenal gland. When symptoms suggest that several glands are underactive, a doctor may suspect hypopituitarism or a polyglandular deficiency syndrome. Vision problems and hot flashes are associated with Empty Sella syndrome . In most cases, however, the pituitary functions normally as evidenced by normal thyroid functions, normal tests of adrenal function, normal somatomedin-C levels, and regular menses. Some patients have empty sella syndrome as a result of other processes such as neurosarcoidosis pituitary tumors that have degenerated, etc. Rare patients have a congenital empty sella and a coexisting pituitary tumor. Please discuss the treatment with a neurologist . Hope this helps you . Take care and regards !