False Lateralization of a Pituitary Microadenoma
Authors: LEON S. JACKSON
Journal: Annals of Internal Medicine (1988)

Letters and Corrections1 May 1988False Lateralization of a Pituitary MicroadenomaLEON S. JACKSON, M.D., EDWARD R. SAVOLAINE, M.D., ROBERTO FRANCO-SAENZ, M.D.LEON S. JACKSON, M.D.Search for more papers by this author, EDWARD R. SAVOLAINE, M.D.Search for more papers by this author, ROBERTO FRANCO-SAENZ, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-108-5-767_3 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTO THE EDITOR: In Cushing syndrome, selective pretrosal sinus sampling has been shown to be useful in localizing adrenocorticotrophic hormone (ACTH) secretion to the pituitary gland when other studies have been inconclusive (1). Bilateral sampling increases sensitivity and has also been shown to be reliable in lateralizing the lesion (1-5). In a few cases in which a focal lesion was not identified at surgery, a cure has been effected by hemihypophysectomy, with the correct side being selected based on petrosal sinus sampling data ( 1 ). We report a case of false lateralization of a pituitary microadenoma by bilateral inferior...References1. DOPPMANOLDFIELDKRUDY JEA. Petrosal sinus sampling for Cushing's syndrome: anatomical and technical considerations. Radiology. 1984;150:99-103. CrossrefMedlineGoogle Scholar2. MANNILATSHAWPAGESANTEN ARJR. Simultaneous bilateral venous sampling for adrenocorticotropin in pituitary-dependent Cushing's disease: evidence for lateralization of pituitary venous drainage. J Clin Endocrinol Metab. 1983;57:1070-3. CrossrefMedlineGoogle Scholar3. OLDFIELDCHROUSOSSCHULTE EGH. Preoperative lateralization of ACTH-secreting pituitary microadenomas by bilateral and simultaneous inferior petrosal venous sinus sampling. N Engl J Med. 1985;312:100-3. CrossrefMedlineGoogle Scholar4. DOPPMANKRUDYGIRTONOLDFIELD JAME. Basilar venous plexus of the posterior fossa: a potential source of error in petrosal sinus sampling. Radiology. 1985;155:375-8. CrossrefMedlineGoogle Scholar5. OLDFIELDGIRTONDOPPMAN EMJ. Absence of intercavernous venous mixing: evidence supporting lateralization of pituitary microadenomas by venous sampling. J Clin Endocrinol Metab. 1985;61:644-6. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Medical College of Ohio Toledo, OH 43699 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByCushing DiseaseCushing's diseaseLa enfermedad de Cushing en los años 90. Una revisiónCushing’s Disease: Therapy of Pituitary AdenomasPreliminary observations using endocrine markers of pituitary venous dilution during bilateral simultaneous inferior petrosal sinus catheterization in Cushing's syndrome: Is combined CRF and TRH stimulation of value?Investigation of Cushing's syndrome by inferior petrosal sinus samplingThe Cushing Syndrome: An Update on Diagnostic TestsTodd B. Kaye, MD, Lawrence Crapo, MD 1 May 1988Volume 108, Issue 5Page: 767-768KeywordsAdrenocorticotropic hormoneLesionsPituitary glandSurgery Issue Published: 1 May 1988 PDF DownloadLoading ...