Surgical strategy of pituitary and cavernous sinus exploration in MRI–Negative Cushing’s disease after unsuccessful surgery

MRI–Negative Cushing’s disease continues to be a challenging disease despite better imaging and techniques. The situation can be more complicated in the setting of prior surgery or failed surgery. Often, a narrow surgical corridor is encountered with robust cavernous or intercavernous sinuses. Contr...

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Detalles Bibliográficos
Autores principales: Shen, Ming, Shou, Xuefei, Wang, Yongfei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2023
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10321543/
https://www.ncbi.nlm.nih.gov/pubmed/37416809
http://dx.doi.org/10.3171/2023.4.FOCVID2312
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author Shen, Ming
Shou, Xuefei
Wang, Yongfei
author_facet Shen, Ming
Shou, Xuefei
Wang, Yongfei
author_sort Shen, Ming
collection PubMed
description MRI–Negative Cushing’s disease continues to be a challenging disease despite better imaging and techniques. The situation can be more complicated in the setting of prior surgery or failed surgery. Often, a narrow surgical corridor is encountered with robust cavernous or intercavernous sinuses. Controlling venous oozing properly is critical to achieving better outcomes. In this video, the authors present a case of MRI–Negative Cushing’s disease after previous unsuccessful surgery. The pituitary tumor was detected on the left side of the gland, close to the cavernous sinus. Margin-plus resection is important if it can be achieved. Biochemical remission was achieved after surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2023.4.FOCVID2312
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spelling pubmed-103215432023-07-06 Surgical strategy of pituitary and cavernous sinus exploration in MRI–Negative Cushing’s disease after unsuccessful surgery Shen, Ming Shou, Xuefei Wang, Yongfei Neurosurg Focus Video Article MRI–Negative Cushing’s disease continues to be a challenging disease despite better imaging and techniques. The situation can be more complicated in the setting of prior surgery or failed surgery. Often, a narrow surgical corridor is encountered with robust cavernous or intercavernous sinuses. Controlling venous oozing properly is critical to achieving better outcomes. In this video, the authors present a case of MRI–Negative Cushing’s disease after previous unsuccessful surgery. The pituitary tumor was detected on the left side of the gland, close to the cavernous sinus. Margin-plus resection is important if it can be achieved. Biochemical remission was achieved after surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2023.4.FOCVID2312 American Association of Neurological Surgeons 2023-07-01 /pmc/articles/PMC10321543/ /pubmed/37416809 http://dx.doi.org/10.3171/2023.4.FOCVID2312 Text en © 2023, The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the CC BY license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Shen, Ming
Shou, Xuefei
Wang, Yongfei
Surgical strategy of pituitary and cavernous sinus exploration in MRI–Negative Cushing’s disease after unsuccessful surgery
title Surgical strategy of pituitary and cavernous sinus exploration in MRI–Negative Cushing’s disease after unsuccessful surgery
title_full Surgical strategy of pituitary and cavernous sinus exploration in MRI–Negative Cushing’s disease after unsuccessful surgery
title_fullStr Surgical strategy of pituitary and cavernous sinus exploration in MRI–Negative Cushing’s disease after unsuccessful surgery
title_full_unstemmed Surgical strategy of pituitary and cavernous sinus exploration in MRI–Negative Cushing’s disease after unsuccessful surgery
title_short Surgical strategy of pituitary and cavernous sinus exploration in MRI–Negative Cushing’s disease after unsuccessful surgery
title_sort surgical strategy of pituitary and cavernous sinus exploration in mri–negative cushing’s disease after unsuccessful surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10321543/
https://www.ncbi.nlm.nih.gov/pubmed/37416809
http://dx.doi.org/10.3171/2023.4.FOCVID2312
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