Microsurgical treatment of Nelson's syndrome.

Abstract:

OBJECTIVE:To discuss the etiology, diagnostic criteria and treatment of Nelson's syndrome. METHODS:Twenty-three patients with Nelson's syndrome who were treated in our department over the last 19 years were analyzed retrospectively. Removal of adenoma by the transsphenoidal approach was done in 21 patients and by transfrontal craniotomy in 2. The follow-up period ranged from six months to nine years. RESULTS:The incidence of Nelson's syndrome was 7.7% in a series of 300 patients with Cushing's disease treated by microsurgery in the same period. Hyperpigmentation was relieved and adrenocorticotropic hormone (ACTH) levels decreased in all patients after tumor excision. Eight patients with visual disturbance improved after surgery. The curative and remission rates were 56.5% and 26.1%, respectively. CONCLUSIONS:Transsphenoidal microsurgical removal of pituitary ACTH adenoma is the first choice in the prevention and treatment of Nelson's syndrome. Regular follow-up examinations should be performed over a long time.

journal_name

Chin Med J (Engl)

journal_title

Chinese medical journal

authors

Xing B,Ren Z,Su C,Wang R,Yang Y,Hu Y

keywords:

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

1150-2

issue

8

eissn

0366-6999

issn

2542-5641

journal_volume

115

pub_type

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