Detection of recurrent Cushing’s disease: proposal for standardized patient monitoring following transsphenoidal surgery
نویسندگان
چکیده
منابع مشابه
Pituitary Surgery for Cushings Disease
In this article, the present status of neurosurgical operations for Cushing’s disease is briefly reviewed. Transsphenoidal surgery is considered the treatment of choice in most patients with Cushing’s disease once the diagnosis has been established. In a considerable proportion of patients, even sophisticated imaging does not directly depict the tiny micro adenoma. The search for the tumor is t...
متن کاملTranssphenoidal surgery for Cushing's disease: defining cure and following outcome.
Ideally, selective and complete removal of a corticotroph adenoma should cure Cushing's disease and leave no other pituitary dysfunction. Furthermore, endocrinologists should be in a position to inform patients with Cushing's disease whether they are cured following transsphenoidal surgery. As with diagnosis of this condition, however, definition of cure continues to be debated. Such definition...
متن کاملBilateral thalamic infarction following transsphenoidal surgery.
The transsphenoidal approach is widely employed for access to surgical lesions of the sella. Following the introduction of the operating microscope to the procedure by Hardy,1 it has become a safe and well-established operation, as demonstrated by the low morbidity and mortality in several large case series over the past four decades.2-6 Nevertheless, rare but serious complications, most notabl...
متن کاملCauses for 30-Day Readmission following Transsphenoidal Surgery.
OBJECTIVE The Affordable Care Act Readmissions Reduction Program introduced reimbursement policy changes resulting in penalties for hospitals with higher-than-average readmission rates among several categories, including elective surgical cases. We examined the rate of complications resulting in 30-day readmission following endoscopic transsphenoidal surgery. STUDY DESIGN Case series with cha...
متن کاملPituitary Radiotherapy for Cushings Disease
Background: The treatment of choice for Cushing’s disease is pituitary surgery. Second-line treatments include repeat pituitary surgery, radiation therapy, medical therapy, and bilateral adrenalectomy. The most used modalities to irradiate patients with Cushing’s disease include fractionated radiotherapy and single-dose Gamma Knife. We aim to review the efficacy and safety of radiotherapy in pa...
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ژورنال
عنوان ژورنال: Journal of Neuro-Oncology
سال: 2014
ISSN: 0167-594X,1573-7373
DOI: 10.1007/s11060-014-1508-0