title: Primary amenorrhea due to empty sella: an underestimated entity.
abstract: We report a 16-year-old girl who had stunted growth and primary amenorrhea     presenting with headache and vomiting. MRI of brain showed posterior fossa     dermoid cyst with hydrocephalus and empty sella. Growth hormone (GH),     Leutinizing hormone (LH) and Follicular stimulating hormone (FSH) were grossly     reduced on endocrinological work-up. She underwent suboccipital midline     craniectomy and complete excision of dermoid cyst .She had no additional deficit     after the surgery. She had menarche six months after the surgery and developed     adequate secondary sexual characters, however her height remains subnormal at     follow-up after 2 years as compared to age matched controls. We briefly review     the radiological features, pathogenesis and outcome of this underestimated     entity.
authors: Kem Hospital, Department of Neurosurgery, Mumbai, India.
authors: Nitin
authors: N
authors: Dange
authors: Rakesh
authors: R
authors: Redhu
authors: Juhi
authors: J
authors: Kawale
authors: Amit
authors: A
authors: Mahore
mesh_terms: D000293:Adolescent; D000568:Amenorrhea / Q000209:etiology*; D001827:Body Height; D001921:Brain / Q000473:pathology; D002551:Cerebral Ventricle Neoplasms / Q000150:complications / Q000473:pathology; D003884:Dermoid Cyst / Q000150:complications / Q000473:pathology / Q000601:surgery*; D004652:Empty Sella Syndrome / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood; D019382:Human Growth Hormone / Q000097:blood; D006801:Humans; D007986:Luteinizing Hormone / Q000097:blood; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures
chemical_list: D019382:Human Growth Hormone; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone