空蝶鞍系指蛛网膜下腔疝入鞍内,且有蝶鞍扩大或变形,鞍内为脑脊液所充填的一种临床综合征。现将我院1974～1984年间经手术所见的5例空蝶鞍简要报告如下: 临床资料 本组男性2例,女性3例,年龄26岁～46岁,平均33.5岁。病程最短4月,长者12年,平均4年。5例都突出表现为头痛,视力下降、视野缺损等共同的临床症状。头痛主要在前额或偏一侧颞部,多呈持续性能忍受的钝痛,然而亦有1例剧痛难忍。病程早期,5例都表现有双颞侧视野缺损,而后期都呈向心性视野缩小,且有1例双目失明,1例单眼失明,5例不同程度的视力下降。此外,有内分泌改 The empty sella means that the subarachnoid space is invaded into the saddle, and the sella expands or deforms. The saddle is a clinical syndrome filled with cerebrospinal fluid. The 5 cases of empty sella seen in our hospital from 1974 to 1984 were briefly reported as follows: Clinical data In this group, there were 2 males and 3 females, aged 26 to 46 years, with an average of 33.5 years. The shortest course of illness is April, and the elderly are 12 years old, with an average of 4 years. In all cases, headaches, visual acuity, visual field defects and other common clinical symptoms were prominently manifested. Headaches were mainly on the forehead or the side of the lateral malleolus, and most of them had dull pains that persisted in their performance. However, there was also one case of severe pain. Early in the course of the disease, all 5 cases showed bilateral temporal visual field defects, and at the later stage they all showed a concentric visual field reduction. There was 1 case of blindness, 1 case of monocular blindness, and 5 cases of varying degrees of visual acuity. In addition, there are endocrine changes