Empty sella syndrome is a condition in which the pituitary gland appears to be partially or totally absent from the pituitary fossa. It is a misnomer in that, the sella is not truly empty, but filled with cerebrospinal fluid and as such, the pituitary gland is flattened or shrunken and hence not visualized on imaging. In most cases, it is asymptomatic and found on imaging as an incidental finding. In symptomatic cases it may present with headaches, CSF rhinorrhoea, visual field defects or partial or panhypopituitarism. Here we report a case of a 62 year old Nigerian male who presented with hemiparesis, and CT evidence of empty sella syndrome and myxedema crises.