×
Please select City And Area.
Best Doctor List Near You for Inferior Petrosal Sinus Sampling in Kg pengkalan batu
Best psoriasis doctors near me


Inferior petrosal sinus sampling (IPSS) is a specialized medical procedure primarily utilized for the assessment of Cushing's disease, a condition characterized by excess cortisol production often caused by a pituitary adenoma. This technique involves the selective catheterization of the inferior petrosal sinuses, which are venous channels located at the base of the skull and are important for draining blood from the pituitary gland. The procedure is minimally invasive and typically performed under local anesthesia with the assistance of fluoroscopy or CT guidance. During IPSS, catheters are inserted into the inferior petrosal sinuses via the internal jugular vein to measure hormone levels, particularly adrenocorticotropic hormone (ACTH), in the blood that drains from the pituitary gland. By comparing the ACTH concentrations in the blood from these sinuses to those measured in the peripheral blood, clinicians can determine whether the source of increased hormone production is indeed a pituitary tumor (Cushing's disease) or if it arises from other origins, such as ectopic ACTH syndrome or adrenal adenomas. A distinctly elevated gradient of ACTH from the inferior petrosal sinuses compared to the peripheral blood provides strong evidence of a pituitary source of excess ACTH and supports the diagnosis of Cushing's disease. This diagnostic modality is critical because it influences subsequent treatment decisions, which may involve surgical resection of the pituitary tumor, medical therapies, or radiation. Moreover, IPSS is particularly valuable in complicated cases where non-invasive imaging techniques, such as MRI, may render inconclusive results. Besides the diagnostic advantages, this procedure is associated with minimal complications, and the risks are generally low, including potential bleeding, infection, or vascular complications related to catheter placement. However, the experience of the medical team and the facility performing the procedure is pivotal to its success and safety. Following the procedure, patients are monitored for a short period to ensure stability before discharge. Ultimately, inferior petrosal sinus sampling stands as an essential tool in the endocrinologist's arsenal, facilitating accurate diagnosis and management of hypercortisolism while helping discern the cause of hormonal dysregulation. Its significance lies not only in enhanced diagnostic accuracy but also in being a pivotal step towards targeted and effective treatment strategies for individuals affected by Cushing's disease and related disorders.
- Spinal Surgery Specialist in Kg pengkalan batu
- Urgent Care Physician in Kg pengkalan batu
- Electrophysiologist in Kg pengkalan batu
- Urologic Cancer Specialist in Kg pengkalan batu
- GI Cancer Specialist in Kg pengkalan batu
- Humanitarian Emergency Medical Expert in Kg pengkalan batu
- Pathologist in Kg pengkalan batu
- Craniofacial Surgeon in Kg pengkalan batu
- Ayurvedic Specialist in Kg pengkalan batu
- Brain Injury Rehabilitation Specialist in Kg pengkalan batu
- PET-CT Imaging Specialist in Kg pengkalan batu
- Interventional Pain Specialist in Kg pengkalan batu
- Cataract And Refractive Surgery Specialist in Kg pengkalan batu
- Pediatric Oncologic Surgeon in Kg pengkalan batu
- Chemotherapy Specialist in Kg pengkalan batu
- Inflammatory Bowel Disease (LBD) Specialist in Kg pengkalan batu
- Brain-Behavior Specialist in Kg pengkalan batu
- Medical Genetics Specialist in Kg pengkalan batu
- Primary Immunodeficiency Specialist in Kg pengkalan batu
- Ophthalmic Surgeon in Kg pengkalan batu
- Cardiothoracic Surgeon in Kg pengkalan batu
- Biofilling in Kg pengkalan batu
- Selective Percutaneous Myofascial Lengthening in Kg pengkalan batu
- Ligament Injury in Kg pengkalan batu
- Facial Masculinization Surgery in Kg pengkalan batu
- Virotherapy in Kg pengkalan batu
- Offset Procedures in Kg pengkalan batu
- Submandibular Gland Removal in Kg pengkalan batu
- Pediatric Malabsorption Syndromes in Kg pengkalan batu
- Surgical Dermatology Services in Kg pengkalan batu
- Radiology Services in Kg pengkalan batu
- Menopause Management in Kg pengkalan batu
- Facility Maintenance And Engineering(Healthcare) in Kg pengkalan batu
- Cardiac Rehabilitation Therapist Services in Kg pengkalan batu
- Immunosuppressive Therapy in Kg pengkalan batu
- Joint Replacement in Kg pengkalan batu
- Colorectal Cancer Services in Kg pengkalan batu
- Pediatric ENT Services in Kg pengkalan batu
- Cardiac Rehabilitation in Kg pengkalan batu
- Coronary Angiography in Kg pengkalan batu
- Vascular Malformation Treatments in Kg pengkalan batu
- Reconstructive Surgery in Kg pengkalan batu
- Pediatric Cardiology Services in Kg pengkalan batu
- Lifestyle Counseling in Kg pengkalan batu
- Sports Medicine in Kg pengkalan batu
- Virology in Kg pengkalan batu
- Telemedicine Services in Kg pengkalan batu
- Ethical and Legal Considerations in Kg pengkalan batu
- TMJ and Jaw Disorder Treatment in Kg pengkalan batu