Raymond's syndrome following petrosal sinus sampling.
Inferior petrosal sinus sampling (IPSS) is used to evaluate the pituitary-dependency of Cushing's disease, and to predict the laterality of a microadenoma prior to transsphenoidal operation. A serious complication occurred in a 14-year-old boy: he suffered brain stem ischaemia with abducens nerve palsy and hemiparesis (Raymond's syndrome). The case prompted us to reconsider the indication for this investigation.
Seyer
H
H
Department of Neurosurgery, University of Erlangen-Nürnberg, Federal Republic of Germany.
Honegger
J
J
Schott
W
W
Küchle
M
M
Huk
W J
WJ
Fahlbusch
R
R
Frisch
H
H
D000010:Abducens Nerve / Q000098:blood supply*; D000236:Adenoma / Q000175:diagnosis / Q000601:surgery*; D000293:Adolescent; D002545:Brain Ischemia / Q000209:etiology*; D001933:Brain Stem / Q000098:blood supply*; D002544:Cerebral Infarction / Q000209:etiology; D003480:Cushing Syndrome / Q000175:diagnosis / Q000601:surgery*; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008526:Medulla Oblongata / Q000098:blood supply; D009460:Neurologic Examination; D009886:Ophthalmoplegia / Q000209:etiology*; D017591:Petrosal Sinus Sampling; D010911:Pituitary Neoplasms / Q000175:diagnosis / Q000601:surgery*; D011149:Pons / Q000098:blood supply; D011183:Postoperative Complications / Q000209:etiology*; D013577:Syndrome