title: Cyclical Cushing's syndrome first diagnosed after pituitary surgery: a trap for the unwary.
abstract: Three patients were studied after transsphenoidal microsurgery for Cushing's disease because their symptoms and signs were slow to settle and/or because they had variable endocrine results. All were established as having cyclical Cushing's syndrome, first diagnosed post-operatively. This may be a much more common finding than previously realized and emphasizes the need for detailed and ongoing endocrinological investigation after transsphenoidal surgery for Cushing's disease.
authors.affiliation: Sir George E. Clark Metabolic Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
authors.forename: A B
authors.initials: AB
authors.lastname: Atkinson
authors.forename: D R
authors.initials: DR
authors.lastname: McCance
authors.forename: L
authors.initials: L
authors.lastname: Kennedy
authors.forename: B
authors.initials: B
authors.lastname: Sheridan
mesh_terms: D000328:Adult; D003480:Cushing Syndrome / Q000097:blood* / Q000175:diagnosis / Q000601:surgery; D003907:Dexamethasone; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006854:Hydrocortisone / Q000097:blood*; D010902:Pituitary Gland / Q000601:surgery; D011184:Postoperative Period
chemical_list: D003907:Dexamethasone; D006854:Hydrocortisone