Leksell Gamma Knife : An Effective Non Invasive Treatment for Rare Case of Nelson’s Syndrome

AUTHORS

faheem arshad 1 , * , bashir ahmad Laway 1 , Manzoor Ahmad bhat 1 , hakim Irfan Showkat 1 , suman Kotwal 1 , shahnaz Ahmad Mir 1

1 Sher-i-Kashmir Institute of Medical Sciences (SKIMS) Soura, Resident Scholar Endocrinology, Srinagar, India

How to Cite: arshad F, Laway B A, bhat M A, Showkat H I, Kotwal S, et al. Leksell Gamma Knife : An Effective Non Invasive Treatment for Rare Case of Nelson’s Syndrome, Int J Endocrinol Metab. 2013 ; 11(3):e94659. doi: 10.5812/ijem.10225.

ARTICLE INFORMATION

International Journal of Endocrinology and Metabolism: 11 (3); e94659
Published Online: July 01, 2013
Article Type: Case Report
Received: May 29, 2019
Accepted: February 06, 2013
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Abstract

Nelson’s syndrome nowadays a rare entity results from an adrenocorticotropin (ACTH)–secreting pituitary adenoma in patients with refractory Cushing's disease after a therapeutic bilateral adrenal gland removal. We report a case of 25 year old female with cushing’s disease who was initially managed with medical treatment, but in view of severe persistent hyper cortisol state was subjected to bilateral adrenalectomy following which she developed Nelson’s syndrome after a gap of six years, which was difficult to diagnose because of limited investigations available. Patient was managed with stereotactic radiosurgery (gamma knife surgery).

Keywords

Nelson’s Syndrome Cushing’s Disease Adrenalectomy

© 2013, International Journal of Endocrinology and Metabolism. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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