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BRYNER JAMES R. MD FACOG; GAMMAL, TAHER EL MD; ACKER, JAMES D. MD; ASCH, RICHARDO H. MD; GREENBLATT, ROBERT B. MD, FACOG
Obstetrics & Gynecology: February 1978
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Eight of 115 patients with empty sella had concurrent galactorrhea. All 8 patients had abnormal sellae, and the diagnosis of empty sella was made by polytome pneumoencephalography. There were no obvious endocrine dysfunctions, but 2 patients had elevated prolactin levels. One mechanism for production of galactorrhea may involve compression of the hypothalamus and/or pituitary stalk; this was suggested by most of our observations. There may be a coincidental association of empty sella with galactorrhea, and this association is probably more common than previously noted. Evaluation of patients with galactorrhea and abnormal sellae by polytome pneumoencephalography is emphasized.

© 1978 The American College of Obstetricians and Gynecologists