J Neurol Surg B Skull Base 2024; 85(S 01): S1-S398
DOI: 10.1055/s-0044-1780410
Presentation Abstracts
Video Presentations

Transcavernous Resection of Adenoma Embedded in Medial Wall in MRI-Negative Cushing Disease

Alix Bex
1   Stanford University, Stanford, California, United States
,
Vera Vigo
1   Stanford University, Stanford, California, United States
,
Enrico Gambatesa
1   Stanford University, Stanford, California, United States
,
Christine Lee
1   Stanford University, Stanford, California, United States
,
Zara Patel
1   Stanford University, Stanford, California, United States
,
Laurence Katznelson
1   Stanford University, Stanford, California, United States
,
Nancy Fischbein
1   Stanford University, Stanford, California, United States
,
Juan Fernandez-Miranda
1   Stanford University, Stanford, California, United States
› Author Affiliations
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    A 26-year-old woman with a history of Cushing disease and biochemical evidence of pituitary source. Initial MRI is negative. Patient underwent inferior petrosal sinus sampling showing lateralization toward the right side. New MRI with a LAVA sequence showing signs of adenoma on the right side of the sella, entering the cavernous sinus wall. This video pinpoints the technique to access the medial wall of the cavernous sinus and the main medial wall resection criteria.


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    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    05 February 2024

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