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Inferior Petrosal Venous Sinus Sampling

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Part of the book series: Techniques in Interventional Radiology ((TECHRAD))

Abstract

Cushing’s syndrome (CS) is most commonly due to exogenous glucocorticoid administration. The most common endogenous cause of CS (70–80 %) is an adrenocorticotropic hormone (ACTH)-secreting pituitary adenoma (Cushing’s disease) for which the treatment of choice is surgical excision. Confirming the diagnosis of a pituitary source and excluding ectopic sources of ACTH using biochemical testing and cross-sectional imaging are often challenging.

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Suggested Reading

  • Boscaro M, Arnaldi G. Approach to the patient with possible Cushing’s syndrome. J Clin Endocrinol Metab. 2009;94:3121–31.

    Article  PubMed  CAS  Google Scholar 

  • Deipolyi A, Karaosmanoğlu A, Habito C, Brannan S, Wicky S, Hirsch J, Oklu R. The role of bilateral inferior petrosal sinus sampling in the diagnostic evaluation of Cushing syndrome. Diagn Interv Radiol. 2012;18(1):132–8.

    PubMed  Google Scholar 

  • Doppman JL, Nieman LK, Chang R, et al. Selective venous sampling from the cavernous sinuses is not a more reliable technique than sampling from the inferior petrosal sampling in Cushing’s syndrome. J Clin Endocrinol Metab. 1995;80:2485–9.

    Article  PubMed  CAS  Google Scholar 

  • Ilias I, Chang R, Pacak K, et al. Jugular venous sampling: an alternative to petrosal sinus sampling for the diagnostic evaluation of adrenocorticotropic hormone-dependent Cushing’s syndrome. J Clin Endocrinol Metab. 2004;89:3795–800.

    Article  PubMed  CAS  Google Scholar 

  • Newell-Price J, Trainer P, Besser M, Grossman A. The diagnosis and differential diagnosis of Cushing’s syndrome and pseudo-Cushing’s states. Endocr Rev. 1998;19:647–72.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Matthew Mattson MD, MRCP, FRCR .

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© 2014 Springer-Verlag London

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Shawyer, A., Mattson, M. (2014). Inferior Petrosal Venous Sinus Sampling. In: Murphy, K., Robertson, F. (eds) Interventional Neuroradiology. Techniques in Interventional Radiology. Springer, London. https://doi.org/10.1007/978-1-4471-4582-0_17

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  • DOI: https://doi.org/10.1007/978-1-4471-4582-0_17

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4581-3

  • Online ISBN: 978-1-4471-4582-0

  • eBook Packages: MedicineMedicine (R0)

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