title: [Psychiatric disorders in patients with Cushing's disease before and after neurosurgery].
abstract: OBJECTIVE
  Cushing's disease which is a consequence of ACTH-secreting pituitary adenoma leads to hypercortisolism. Cushing's disease is associated with several psychiatric disturbances. The aim of the present study was to identify which psychiatric disorders were present in patients with Cushing's disease over a 2-year period and to monitor their general psychiatric condition. Additionally, the study aimed to examine the relationship between the duration of Cushing's disease, and the severity of psychiatric conditions based on psychiatric rating scales.
  
  
  METHODS
  The study included 39 patients with Cushing's disease that underwent neurosurgery for ACTH-secreting pituitary adenomas. The transsphenoidal approach (the standard microsurgery technique) was performed in all patients. ACTH-secreting pituitary adenomas were confirmed based on immunohistochemistry in all patients. Psychiatric conditions in the patients were identified using the Clinical Global Impression Scale (CGI) and ICD 10 diagnostic criteria at 3 time points: prior to surgery, and 6 and 48 months post surgery.
  
  
  RESULTS
  The Cushing's disease patients exhibited statistically significant improvement in their psychiatric condition, according to the CGI, 6 and 48 months post surgery. There wasn't any significant correlation between the duration of Cushing's disease and psychiatric status, as measured by the CGI prior to surgery, 6 months post surgery, or 48 months post surgery.
  
  
  CONCLUSIONS
  Patients with Cushing's disease had a significant level psychiatric disturbance that remitted after surgery. There wasn't a significant correlation between the duration of Cushing's disease and psychiatric status.
authors.affiliation: Beyin Cerrahisi, Çocuk Sağliği ve Hastaliklari AD, Sestre Milosrdniçe Üniv. Zagrep, Hirvatistan.
authors.forename: Zivko
authors.initials: Z
authors.lastname: Gnjidiae
authors.forename: Dalibor
authors.initials: D
authors.lastname: Karloviae
authors.forename: Danijel
authors.initials: D
authors.lastname: Buljan
authors.forename: Masa
authors.initials: M
authors.lastname: Malencia
authors.forename: Ana
authors.initials: A
authors.lastname: Kovak-Mufiae
authors.forename: Lidija
authors.initials: L
authors.lastname: Kostanjsak
mesh_terms: D000236:Adenoma / Q000150:complications / Q000378:metabolism / Q000601:surgery*; D000293:Adolescent; D000324:Adrenocorticotropic Hormone / Q000378:metabolism; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D007016:Hypophysectomy; D008297:Male; D008875:Middle Aged; D047748:Pituitary ACTH Hypersecretion / Q000150:complications / Q000523:psychology* / Q000601:surgery*; D010911:Pituitary Neoplasms / Q000150:complications / Q000378:metabolism / Q000601:surgery*; D011618:Psychotic Disorders / Q000145:classification / Q000209:etiology*; D055815:Young Adult
chemical_list: D000324:Adrenocorticotropic Hormone