Getting To Know Empty Sella Syndrome, A Disease That Made Ruben Onsu Have To Go To Singapore For Treatment

Ruben Onsu and Sarwendah (Photo: IG @sarwendah29)

JAKARTA - Ruben Onsu finally explained the illness that forced him to enter the ICU and was hospitalized twice. Turns out, Ruben is sick with Empty Sella Syndrome. Together with Sarwendah, they will carry out treatment in Singapore even though they are in different hospitals. "Yesterday I had an MRI, so there were white spots on the brain part A, and secondly there was Empty Sella Syndrome," said Ruben, quoted from the Trans 7 Official YouTube channel, Monday, July 25.

"So Empty Sella Syndrome has several levels, some are indeed not strong in cold temperatures. There are also those whose eyesight is getting longer, like wearing contact lenses, so he can't last long," he continued.

Empty Sella Syndrome is a rare disease. Patients often look weak and pale, and even have to be admitted to the ICU suddenly. Empty sella disease is characterized by an enlargement or malformation of a structure in the skull known as the sella turcica.

Quoted from the Johns Hopskin website, most individuals with this syndrome have no associated symptoms, but the findings raise concerns about hormone deficiency.

This sella empty syndrome can occur as a primary disorder, whose cause is unknown (idiopathic), or as a secondary disorder, which occurs due to an underlying condition or disorder. These include a treated pituitary tumor, head trauma, or a condition known as idiopathic intracranial hypertension (also called pseudotumor cerebri) in which increased intracranial pressure causes sella empty syndrome.

Symptoms of empty sella syndrome can vary from person to person and depend on the underlying cause. In most cases, especially in individuals with primary empty sella syndrome, there are no associated symptoms (asymptomatic). Often, this syndrome is discovered incidentally on CT or MRI examination when the individual is being evaluated for other reasons.

The most common symptom potentially associated with this syndrome is chronic headaches. However, it is not known whether the headache develops due to empty sella syndrome or just a coincidental finding.

Many individuals with this syndrome have high blood pressure (hypertension), which in itself can cause headaches if severe. In rare cases, individuals with empty sella syndrome have increased pressure within the skull (benign intracranial pressure), leakage of cerebrospinal fluid from the nose (cerebrospinal rhinorrhea), optic disc swelling due to increased cranial pressure (papiledema), and abnormalities affecting vision such as loss of vision. visual acuity.

Specific findings in some individuals with empty sella, including children, have been isolated from growth hormone deficiency. Individuals with secondary empty sella syndrome are more likely to develop abnormalities that affect vision and decreased pituitary function due to their underlying cause, eg a treated pituitary tumor or trauma, resulting in other associated problems.