Bilateral inferior petrosal sinus sampling in a cohort of patients with acth dependent cushing´s syndrome in a tertiary hospital

2020 ◽  
Author(s):  
García Moreno Rosa María ◽  
Parro Isabel Moreno ◽  
Sánchez David Ortiz ◽  
Remedios Frutos ◽  
Rioja Rubén Gómez ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Inferior Petrosal Sinus ◽  
Inferior Petrosal Sinus Sampling

Inferior petrosal sinus sampling and stimulation with CRH: 15 years of experience in a tertiary hospital

2021 ◽  
Author(s):  
Laura González Fernández ◽  
Roberto José Añez Ramos ◽  
Alejandra Maricel Rivas Montenegro ◽  
Noemí Brox Torrecilla ◽  
María Miguélez González ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Inferior Petrosal Sinus ◽  
Years Of Experience ◽  
Inferior Petrosal Sinus Sampling

Combined cavernous and inferior petrosal sinus sampling in the differential diagnostic of ACTH-dependent Cushing's syndrome

2018 ◽  
Author(s):  
Natalia Gussaova ◽  
Uliana Tsoy ◽  
Alexander Savello ◽  
Natalia Plotnikova ◽  
Vladislav Cherebillo ◽  
...  
Keyword(s):  
Cushing’S Syndrome ◽  
Cushing's Syndrome ◽  
Inferior Petrosal Sinus ◽  
Inferior Petrosal Sinus Sampling

Inferior petrosal sinus sampling – 16 years of experience from a single tertiary center in Israel

2020 ◽  
Author(s):  
Matan Fischer ◽  
Avivit Cahn ◽  
Benjamin Glaser ◽  
Gil Leibowitz ◽  
Joshua Stokar ◽  
...  
Keyword(s):  
Inferior Petrosal Sinus ◽  
Years Of Experience ◽  
Inferior Petrosal Sinus Sampling ◽  
Tertiary Center

Inferior petrosal sinus sampling in Cushing’s syndrome: usefulness and pitfalls

Endocrine ◽  
2021 ◽  
Author(s):  
D. A. Vassiliadi ◽  
P. Mourelatos ◽  
T. Kratimenos ◽  
S. Tsagarakis
Keyword(s):  
Cushing’S Syndrome ◽  
Cushing's Syndrome ◽  
Inferior Petrosal Sinus ◽  
Inferior Petrosal Sinus Sampling

scholarly journals The role of bilateral inferior petrosal sinus sampling in the diagnosis of Cushing's syndrome

2007 ◽  
Vol 51 (8) ◽  
pp. 1329-1338 ◽  
Author(s):  
Andrea Utz ◽  
Beverly M.K. Biller
Keyword(s):  
Cushing’S Syndrome ◽  
Venous Drainage ◽  
Cushing's Syndrome ◽  
Blood Levels ◽  
Inferior Petrosal Sinus ◽  
Ectopic Acth ◽  
Inferior Petrosal Sinus Sampling ◽  
Neoplastic Lesion ◽  
Before And After ◽  
Acth Secreting

Adrenocorticotropin hormone (ACTH)-dependent Cushing's syndrome is most often due to a pituitary corticotroph adenoma, with ectopic ACTH-secreting tumors representing approximately 15% of cases. Biochemical and radiological techniques have been established to help distinguish between these two entities, and thus aid in the localization of the neoplastic lesion for surgical resection. The test that offers the highest sensitivity and specificity is bilateral inferior petrosal sinus sampling (BIPSS). BIPSS is an interventional radiology procedure in which ACTH levels obtained from venous drainage very near the pituitary gland are compared to peripheral blood levels before and after corticotropin hormone (CRH) stimulation. A gradient between these two locations indicates pituitary Cushing's, whereas the absence of a gradient suggests ectopic Cushing's. Accurate BIPSS results require hypercortisolemia to suppress normal corticotroph ACTH production and hypercortisolemia at the time of the BIPSS to assure excessive ACTH secretion. In some cases, intrapituitary gradients from side-to-side can be helpful to localize small corticotroph adenomas within the sella. BIPSS has rare complications and is considered safe when performed at centers with experience in this specialized technique.

Bilateral and Simultaneous Inferior Petrosal Sinus Sampling in the Early Diagnosis of an ACTH-Producing Pituitary Microadenoma and Its Detection by Magnetic Resonance One Year Later

1992 ◽  
Vol 37 (1-2) ◽  
pp. 64-67 ◽  
Author(s):  
Bartolomeo Merola ◽  
Annamaria Colao ◽  
Riccardo Rossi ◽  
Renato Spaziante ◽  
Alfredo Manco ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Early Diagnosis ◽  
Inferior Petrosal Sinus ◽  
Inferior Petrosal Sinus Sampling ◽  
Pituitary Microadenoma ◽  
One Year
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