Positron Emission Tomography-Computed Tomography Coregistration for Diagnosis and Intraoperative Localization in Recurrent Nelson Syndrome

Abstract Recurrent pituitary disease presents unique challenges, including in some cases difficulty localizing a tumor radiographically. Here, we present the case of a patient with recurrent Nelson syndrome whose radiographic work-up was complicated by a significant parasellar metallic artifact. Pos...

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Main Authors: Eric B. Hintz, Jeffery M. Tomlin, Vaseem Chengazi, G. Edward Vates
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2013-05-01
Series:Journal of Neurological Surgery Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1346974
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author Eric B. Hintz
Jeffery M. Tomlin
Vaseem Chengazi
G. Edward Vates
author_facet Eric B. Hintz
Jeffery M. Tomlin
Vaseem Chengazi
G. Edward Vates
author_sort Eric B. Hintz
collection DOAJ
description Abstract Recurrent pituitary disease presents unique challenges, including in some cases difficulty localizing a tumor radiographically. Here, we present the case of a patient with recurrent Nelson syndrome whose radiographic work-up was complicated by a significant parasellar metallic artifact. Positron emission tomography ultimately localized the lesion, and coregistration with computed tomography allowed for accurate intraoperative navigation. Additionally, we review a range of imaging techniques available in the evaluation of pituitary disease.
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spelling doaj.art-8fc2060d634d4f63b059ec89d4f172382022-12-22T02:47:50ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662013-05-01740103303610.1055/s-0033-1346974Positron Emission Tomography-Computed Tomography Coregistration for Diagnosis and Intraoperative Localization in Recurrent Nelson SyndromeEric B. Hintz0Jeffery M. Tomlin1Vaseem Chengazi2G. Edward Vates3Department of Neurosurgery, University of Rochester School of Medicine, Rochester, New York, USADepartment of Neurosurgery, Naval Medical Center San Diego, San Diego, California, USADepartment of Radiology, University of Rochester School of Medicine, Rochester, New York, USADepartment of Neurosurgery, University of Rochester School of Medicine, Rochester, New York, USAAbstract Recurrent pituitary disease presents unique challenges, including in some cases difficulty localizing a tumor radiographically. Here, we present the case of a patient with recurrent Nelson syndrome whose radiographic work-up was complicated by a significant parasellar metallic artifact. Positron emission tomography ultimately localized the lesion, and coregistration with computed tomography allowed for accurate intraoperative navigation. Additionally, we review a range of imaging techniques available in the evaluation of pituitary disease.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1346974computed tomographynelson syndromepituitary adenomapositron emission tomography
spellingShingle Eric B. Hintz
Jeffery M. Tomlin
Vaseem Chengazi
G. Edward Vates
Positron Emission Tomography-Computed Tomography Coregistration for Diagnosis and Intraoperative Localization in Recurrent Nelson Syndrome
Journal of Neurological Surgery Reports
computed tomography
nelson syndrome
pituitary adenoma
positron emission tomography
title Positron Emission Tomography-Computed Tomography Coregistration for Diagnosis and Intraoperative Localization in Recurrent Nelson Syndrome
title_full Positron Emission Tomography-Computed Tomography Coregistration for Diagnosis and Intraoperative Localization in Recurrent Nelson Syndrome
title_fullStr Positron Emission Tomography-Computed Tomography Coregistration for Diagnosis and Intraoperative Localization in Recurrent Nelson Syndrome
title_full_unstemmed Positron Emission Tomography-Computed Tomography Coregistration for Diagnosis and Intraoperative Localization in Recurrent Nelson Syndrome
title_short Positron Emission Tomography-Computed Tomography Coregistration for Diagnosis and Intraoperative Localization in Recurrent Nelson Syndrome
title_sort positron emission tomography computed tomography coregistration for diagnosis and intraoperative localization in recurrent nelson syndrome
topic computed tomography
nelson syndrome
pituitary adenoma
positron emission tomography
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1346974
work_keys_str_mv AT ericbhintz positronemissiontomographycomputedtomographycoregistrationfordiagnosisandintraoperativelocalizationinrecurrentnelsonsyndrome
AT jefferymtomlin positronemissiontomographycomputedtomographycoregistrationfordiagnosisandintraoperativelocalizationinrecurrentnelsonsyndrome
AT vaseemchengazi positronemissiontomographycomputedtomographycoregistrationfordiagnosisandintraoperativelocalizationinrecurrentnelsonsyndrome
AT gedwardvates positronemissiontomographycomputedtomographycoregistrationfordiagnosisandintraoperativelocalizationinrecurrentnelsonsyndrome