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International Journal of Endocrinology and Metabolism
Research Institute for Endocrine Sciences
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Leksell Gamma Knife : An Effective Non Invasive Treatment for Rare Case of Nelson’s Syndrome
Author(s):
faheem arshad1,*, bashir ahmad Laway 1, Manzoor Ahmad bhat1, hakim Irfan Showkat1, suman Kotwal1, shahnaz Ahmad Mir11Sher-i-Kashmir Institute of Medical Sciences (SKIMS) Soura, Resident Scholar Endocrinology, Srinagar, India
*Corresponding Author: Department of Endocrinology, Sher-i-Kashmir Institute of Medical Sciences Soura, Resident Scholar Endocrinology, Srinagar, India, Email: [email protected]
Published online:Jul 01, 2013
Article type:Case Report
Received:May 29, 2019
Accepted:Feb 06, 2013
How to Cite:arshad F, Laway BA, bhat MA, Showkat HI, Kotwal S, et al. Leksell Gamma Knife : An Effective Non Invasive Treatment for Rare Case of Nelson’s Syndrome. Int J Endocrinol Metab. 2013;11(3):e94659. doi: https://doi.org/10.5812/ijem.10225
Abstract
Nelson’s syndrome nowadays a rare entity results from an adrenocorticotropin (ACTH)–secreting pituitary adenoma in patients with refractory Cushing's disease after a therapeutic bilateral adrenal gland removal. We report a case of 25 year old female with cushing’s disease who was initially managed with medical treatment, but in view of severe persistent hyper cortisol state was subjected to bilateral adrenalectomy following which she developed Nelson’s syndrome after a gap of six years, which was difficult to diagnose because of limited investigations available. Patient was managed with stereotactic radiosurgery (gamma knife surgery).
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Copyright
© 2013, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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