Abstract |
When performed properly, bilateral inferior petrosal sinus sampling (BIPSS) for adrenocorticotropic hormone ( ACTH) is rarely associated with complications. Major complications reported to date include thromboembolism, brain stem infarction, pontine haemorrhage, isolated sixth nerve palsy and venous subarachnoid haemorrhage. We describe a rare case where a predominant contrast extravasation into the subarachnoid space, admixed with a small quantity of venous blood, occurring during BIPSS in a 58-year-old woman with ACTH-dependent Cushing's syndrome, was misinterpreted as venous subarachnoid haemorrhage.
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Authors | F L W Ho, E C Cunanan, S C Wang, J J Mukherjee |
Journal | Singapore medical journal
(Singapore Med J)
Vol. 50
Issue 11
Pg. e380-3
(Nov 2009)
ISSN: 0037-5675 [Print] India |
PMID | 19960150
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Adrenocorticotropic Hormone
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Topics |
- Adrenocorticotropic Hormone
(blood)
- Brain Stem
(pathology)
- Cushing Syndrome
(complications, diagnosis)
- Diagnosis, Differential
- Extravasation of Diagnostic and Therapeutic Materials
- Female
- Humans
- Middle Aged
- Petrosal Sinus Sampling
- Subarachnoid Hemorrhage
(diagnosis)
- Thromboembolism
(etiology)
- Tomography, X-Ray Computed
(methods)
- Veins
(pathology)
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