Shen Ming, Shou Xuefei, Wang Yongfei
Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai.
Neurosurgical Institute of Fudan University, Shanghai.
Neurosurg Focus Video. 2023 Jul 1;9(1):V6. doi: 10.3171/2023.4.FOCVID2312. eCollection 2023 Jul.
MRI-Negative Cushing's disease continues to be a challenging disease despite better imaging and techniques. The situation can be more complicated in the setting of prior surgery or failed surgery. Often, a narrow surgical corridor is encountered with robust cavernous or intercavernous sinuses. Controlling venous oozing properly is critical to achieving better outcomes. In this video, the authors present a case of MRI-Negative Cushing's disease after previous unsuccessful surgery. The pituitary tumor was detected on the left side of the gland, close to the cavernous sinus. Margin-plus resection is important if it can be achieved. Biochemical remission was achieved after surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2023.4.FOCVID2312.
尽管有了更好的成像技术，但MRI阴性库欣病仍然是一种具有挑战性的疾病。在既往手术或手术失败的情况下，情况可能会更加复杂。通常，会遇到狭窄的手术通道以及粗大的海绵窦或海绵间窦。妥善控制静脉渗血对于取得更好的手术效果至关重要。在本视频中，作者展示了一例既往手术失败后MRI阴性库欣病的病例。垂体肿瘤位于腺体左侧，靠近海绵窦。如果能够做到，边缘加切除术很重要。术后实现了生化缓解。视频可在此处查看：https://stream.cadmore.media/r10.3171/2023.4.FOCVID2312 。
