×
Please select City And Area.
Best Doctor List Near You for Inferior Petrosal Sinus Sampling in San pedro nonualco
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.
- Musculoskeletal Disease Specialist in San pedro nonualco
- Andrologist in San pedro nonualco
- Radiologist in San pedro nonualco
- Pediatric Surgeon in San pedro nonualco
- Orthopedic Spine Surgeon in San pedro nonualco
- Preventive Medicine Specialist in San pedro nonualco
- Prosthodontics in San pedro nonualco
- Hepatobiliary Surgery Specialist in San pedro nonualco
- Trauma and Fracture Surgeon in San pedro nonualco
- Teleradiology in San pedro nonualco
- Molecular Imaging Specialist in San pedro nonualco
- Electrophysiologist in San pedro nonualco
- Operational Medicine Specialist in San pedro nonualco
- Congenital Heart Surgery in San pedro nonualco
- Anesthesiologist in San pedro nonualco
- Cardiac Electrophysiology Specialist in San pedro nonualco
- Sleep Medicine Psychiatry in San pedro nonualco
- Clinical Pharmacology in San pedro nonualco
- Reproductive Health Specialist in San pedro nonualco
- Minimally Invasive Knee Replacement Specialist in San pedro nonualco
- Pediatric Trauma Surgeon in San pedro nonualco
- Tibial Tubercle (Tuberosity) Fracture in San pedro nonualco
- Arthroscopy Of The Ankle in San pedro nonualco
- Undifferentiated Connective-Tissue Disease in San pedro nonualco
- Congenital Myopathies in San pedro nonualco
- Lupus Nephritis in San pedro nonualco
- Percutaneous Endoscopic Gastrostomy in San pedro nonualco
- Suction Blister in San pedro nonualco
- Pancreatectomy in San pedro nonualco
- Adrenal Gland Surgery in San pedro nonualco
- Diskitis Surgery in San pedro nonualco
- Excision Of A Ganglion in San pedro nonualco
- ICSI (Intra Cytoplasmic Sperm Injection) in San pedro nonualco
- Neuroendoscopy in San pedro nonualco
- Radioulnar Synostosis in San pedro nonualco
- Neuropathology Diagnostic Services in San pedro nonualco
- Rehabilitation Services in San pedro nonualco
- Neurorehabilitation Physician Services in San pedro nonualco
- Pediatric Peritoneal Dialysis in San pedro nonualco
- Vaginal and Vulvar Health Services in San pedro nonualco
- Angiography (CTA/MRA) in San pedro nonualco
- Pediatric Pulmonology in San pedro nonualco
- Viral Load Testing in San pedro nonualco
- Pollution and Contaminant Testing in San pedro nonualco
- Patient Education in San pedro nonualco
- Customized Physical and Occupational Therapy in San pedro nonualco
- Pediatric Preoperative and Postoperative Care in San pedro nonualco
- Isolated Intestinal Transplant in San pedro nonualco
- Benign Breast Conditions Surgery in San pedro nonualco
- Follow-Up Care in San pedro nonualco
- Tuberculosis (TB) Management in San pedro nonualco
- Acute Respiratory Distress Syndrome (ARDS) Management in San pedro nonualco
- Pediatric Diabetes management in San pedro nonualco
- Comprehensive Care for Systemic Vasculitis in San pedro nonualco
- Immunotherapy Services in San pedro nonualco
- Primary Immunodeficiencies in San pedro nonualco