Raymond's syndrome following petrosal sinus sampling

Inferior petrosal sinus sampling (IPSS) is used to evaluate the pituitary-dependency of Cushing's disease, and to predict the laterality of a microadenoma prior to transsphenoidal operation. A serious complication occurred in a 14-year-old boy: he suffered brain stem ischaemia with abducens ner...

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Bibliographic Details
Published in:Acta neurochirurgica 1994-01, Vol.131 (1-2), p.157-159
Main Authors: SEYER, H, HONEGGER, J, SCHOTT, W, KÜCHLE, M, HUK, W. J, FAHLBUSCH, R, FRISCH, H
Format: Article
Language:English
Subjects:
Abducens Nerve - blood supply
Adenoma - diagnosis
Adenoma - surgery
Adolescent
Biological and medical sciences
Brain Ischemia - etiology
Brain Stem - blood supply
Cerebral Infarction - etiology
Cushing Syndrome - diagnosis
Cushing Syndrome - surgery
Functional investigation of endocrine glands and genital system
Hemiplegia - etiology
Humans
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging
Male
Medical sciences
Medulla Oblongata - blood supply
Neurologic Examination
Ophthalmoplegia - etiology
Petrosal Sinus Sampling
Pituitary Neoplasms - diagnosis
Pituitary Neoplasms - surgery
Pons - blood supply
Postoperative Complications - etiology
Syndrome
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Summary:Inferior petrosal sinus sampling (IPSS) is used to evaluate the pituitary-dependency of Cushing's disease, and to predict the laterality of a microadenoma prior to transsphenoidal operation. A serious complication occurred in a 14-year-old boy: he suffered brain stem ischaemia with abducens nerve palsy and hemiparesis (Raymond's syndrome). The case prompted us to reconsider the indication for this investigation.
ISSN:0001-6268
0942-0940
DOI:10.1007/BF01401467