title: [Unexpected development during rehabilitation for suspected rheumatic disorder].
abstract: The 57 year old woman presented with diffuse muscle spasms and delirium. Prior to presentation, she complained of progressive muscle pain, weakness and a weight loss of 10 kg over several months. Laboratory investigation showed hypopituitarism and a syndrome of inappropriate antidiuretic hormone secretion. Magnetic resonance imaging revealed an empty sella. The primary and secondary syndromes of empty sella are discussed.
authors.affiliation: Departement Innere Medizin, Endokrinologie und Diabetologie, Kantonsspital St. Gallen.
authors.forename: L
authors.initials: L
authors.lastname: Joos
authors.forename: P
authors.initials: P
authors.lastname: Wiesli
authors.forename: R L
authors.initials: RL
authors.lastname: Galeazzi
mesh_terms: D004652:Empty Sella Syndrome / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D007018:Hypopituitarism / Q000175:diagnosis / Q000209:etiology; D007177:Inappropriate ADH Syndrome / Q000175:diagnosis / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D012216:Rheumatic Diseases / Q000175:diagnosis* / Q000209:etiology*