Raymond's syndrome following petrosal sinus sampling

Acta Neurochir (Wien). 1994;131(1-2):157-9. doi: 10.1007/BF01401467.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Abducens Nerve / blood supply*
  • Adenoma / diagnosis
  • Adenoma / surgery*
  • Adolescent
  • Brain Ischemia / etiology*
  • Brain Stem / blood supply*
  • Cerebral Infarction / etiology
  • Cushing Syndrome / diagnosis
  • Cushing Syndrome / surgery*
  • Hemiplegia / etiology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Medulla Oblongata / blood supply
  • Neurologic Examination
  • Ophthalmoplegia / etiology*
  • Petrosal Sinus Sampling*
  • Pituitary Neoplasms / diagnosis
  • Pituitary Neoplasms / surgery*
  • Pons / blood supply
  • Postoperative Complications / etiology*
  • Syndrome