Abstract
MRI-negative Cushing disease is a very difficult disease to treat medically and surgically. In the past, after negative gland exploration, hemihypophysectomy was commonly performed on the localizing side of inferior petrosal sampling. However, this generally resulted in 50% remission/cure rates. Therefore, other techniques have arisen based on the per-cent chance of microadenoma tumor being present in the gland. Subtotal gland resection is a technique aimed at remov-ing 75% of the gland that results in a similar chance of remission and a 10% chance of pituitary dysfunction. In this video, the authors demonstrate this important technique for MRI-negative Cushing disease.
Original language | English (US) |
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Article number | V3 |
Journal | Neurosurgical Focus: Video |
Volume | 9 |
Issue number | 1 |
DOIs | |
State | Published - Jul 2023 |
Keywords
- Cushing disease
- neurosurgery
- pituitary adenoma
ASJC Scopus subject areas
- Surgery
- Neurology