×
Please select City And Area.
Best Doctor List Near You for Inferior Petrosal Sinus Sampling in Tulln an der donau
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.
- Thoracic Radiologist in Tulln an der donau
- Pediatric Orthopedics in Tulln an der donau
- Critical Trauma Care Specialist in Tulln an der donau
- Refractive Surgeon in Tulln an der donau
- Operational Medicine Specialist in Tulln an der donau
- Homeopathy in Tulln an der donau
- Chiropractor in Tulln an der donau
- Urologic Cancer Specialist in Tulln an der donau
- Unani Physician(Hakeem) in Tulln an der donau
- Crisis Response Medical Expert in Tulln an der donau
- Reconstructive Surgery Specialist in Tulln an der donau
- Teleobstetrics and Telegynecology in Tulln an der donau
- Thoracic Surgeon in Tulln an der donau
- Rehabilitation Medicine Specialist in Tulln an der donau
- Abdominal Myomectomy in Tulln an der donau
- Renal Biopsy in Tulln an der donau
- Advanced Trivex Procedure in Tulln an der donau
- Laparotomy in Tulln an der donau
- Electrochemical Skin Conductance in Tulln an der donau
- Fat Removal Procedures in Tulln an der donau
- Volkmann Contracture in Tulln an der donau
- Pediatric Primary Immunodeficiency Disorders in Tulln an der donau
- Pre-Operative and Post-Operative Care in Tulln an der donau
- Telemedicine and Remote ENT Services in Tulln an der donau
- Telemedicine for Preventive Care in Tulln an der donau
- Hormonal Stimulation/Suppression Tests Services in Tulln an der donau
- Pediatric Ophthalmology Services in Tulln an der donau
- Pediatric Metabolic Bone Disorders in Tulln an der donau
- Individual Psychology Therapy in Tulln an der donau
- Burn Treatment Services in Tulln an der donau
- Penetrating Keratoplasty in Tulln an der donau
- Pediatric Tube Feeding (Enteral Nutrition) in Tulln an der donau
- Pediatric Pituitary Gland Disorders in Tulln an der donau
- Patient Education and Self-Management in Tulln an der donau
- Pediatric Oncology Diagnosis and Staging in Tulln an der donau
- Movement Disorders services in Tulln an der donau
- In Vitro Fertilization (IVF) in Tulln an der donau
- Immunizations in Tulln an der donau
- Telehealth Mental Health Services in Tulln an der donau
- Symptom Management in Tulln an der donau
- LASIK and Refractive Error Services in Tulln an der donau
- Regional Anesthesia in Tulln an der donau