Cushing's disease surgery [Neurosurgery Wiki]

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======  Cushing's disease surgery ======

{{ ::pituitary_corticotroph_adenoma_surgery.jpg?300|}}

===== Transsphenoidal Surgery for Cushing's disease =====

[[Transsphenoidal Surgery for Cushing's disease]]
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see [[Corticotroph adenoma medical treatment]].


The surgical management of [[Pituitary corticotroph adenoma]] is often complicated by difficulties detecting the [[adenoma]]. 

Various diagnostic modalities are used when conventional [[magnetic resonance imaging]] ([[MRI]]) is negative or inconclusive. Potts et al. sought to analyze the use of two such modalities in the surgical management of [[Cushing's disease]]: (1) Cavernous/[[Inferior petrosal sinus sampling]] (central venous sampling, CVS) for [[adrenocorticotropic hormone]] and (2) dynamic MRI (dMRI). 


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In 2002 Perrin et al., published the technical aspects and surgical strategy for removal 
((Perrin G, Stevenaert A, Jouanneau E. [Technical aspects and surgical strategy 
for removal of corticotroph pituitary neuroendocrine tumor]. Neurochirurgie. 2002 May;48(2-3
Pt 2):186-214. Review. French. PubMed PMID: 12058125.)).

see [[pituitary neuroendocrine tumor surgery]].
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===== References =====