×
Please select City And Area.
Best Doctor List Near You for Inferior Petrosal Sinus Sampling in Santa coloma
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.
- Chronic Pain Management Specialist in Santa coloma
- Pediatric Emergency Specialist in Santa coloma
- Pediatric Electrophysiology Specialist in Santa coloma
- Foot And Ankle Orthopedic Surgeon in Santa coloma
- Mohs Surgeon in Santa coloma
- Anesthesiologist in Santa coloma
- Pediatric Allergist / Immunologist in Santa coloma
- Physical Medicine & Rehabilitation in Santa coloma
- Craniofacial Surgery Specialist in Santa coloma
- Pediatric Radiology in Santa coloma
- Pediatric Dermatology in Santa coloma
- Brain-Behavior Specialist in Santa coloma
- Spinal Deformity Specialist in Santa coloma
- Pediatric Critical Care Specialist in Santa coloma
- Anastomotic Urethroplasty in Santa coloma
- Prophylactic Surgical Procedures in Santa coloma
- Plantar Fasciitis Surgery in Santa coloma
- Catheter Ablation in Santa coloma
- Nasal Sprays in Santa coloma
- Lateral Humeral Condyle Fracture in Santa coloma
- Rice (Rest, Ice, Compression, Elevation) in Santa coloma
- Foot and Ankle Orthopedic Services in Santa coloma
- Pediatric Remote Emergency Consultations in Santa coloma
- Geriatric Rehabilitation Services in Santa coloma
- Neurorehabilitation services in Santa coloma
- Memory Clinics in Santa coloma
- Ergonomic Assessments in Santa coloma
- Interventional Cardiology Services in Santa coloma
- X-rays Services in Santa coloma
- Renal (Kidney) Scans in Santa coloma
- Postmortem Examinations Services in Santa coloma
- Facility Maintenance And Engineering(Healthcare) in Santa coloma
- Pancreas Transplant in Santa coloma
- Cardiac SPECT Scan (Myocardial Perfusion Imaging) in Santa coloma
- breastfeeding support in Santa coloma