title: Leksell Gamma Knife : An Effective Non Invasive Treatment for Rare Case of Nelson's Syndrome.
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).
authors.affiliation: Department of Endocrinology, Sher-i-Kashmir Institute of Medical Sciences Soura, Resident Scholar Endocrinology, Srinagar, India.
authors.forename: Faheem
authors.initials: F
authors.lastname: Arshad
authors.affiliation: Department of Endocrinology, Sher-i-Kashmir Institute of Medical Sciences Soura, Resident Scholar Endocrinology, Srinagar, India.
authors.forename: Bashir Ahmad
authors.initials: BA
authors.lastname: Laway
authors.affiliation: Department of Endocrinology, Sher-i-Kashmir Institute of Medical Sciences Soura, Resident Scholar Endocrinology, Srinagar, India.
authors.forename: Manzoor Ahmad
authors.initials: MA
authors.lastname: Bhat
authors.affiliation: Department of Endocrinology, Sher-i-Kashmir Institute of Medical Sciences Soura, Resident Scholar Endocrinology, Srinagar, India.
authors.forename: Hakim
authors.initials: H
authors.lastname: Irfan Showkat
authors.affiliation: Department of Endocrinology, Sher-i-Kashmir Institute of Medical Sciences Soura, Resident Scholar Endocrinology, Srinagar, India.
authors.forename: Suman
authors.initials: S
authors.lastname: Kotwal
authors.affiliation: Department of Endocrinology, Sher-i-Kashmir Institute of Medical Sciences Soura, Resident Scholar Endocrinology, Srinagar, India.
authors.forename: Shahnaz
authors.initials: S
authors.lastname: Ahmad Mir
keywords: Adrenalectomy; Cushing’s Disease; Nelson’s Syndrome