acromegaly and Cushing's syndrome

1. ACROMEGALY AND
CUSHING’S
SYNDROME

7. Transsphenoidal surgery
• Transsphenoidal surgery is a type of surgery in
which an endoscope or surgical instruments are
inserted into part of the brain by going through the
nose and the sphenoid bone (a butterfly-shaped
bone forming the anterior inferior portion of
the brain case) into the sphenoidal sinus cavity.
• Transsphenoidal surgery is used to
remove tumors of the pituitary gland.

8. Hypophysectomy
• Hypophysectomy is the surgical
removal of the pituitary gland.
• The pituitary gland can be removed
through the nose, or it can be
removed by opening the skull.

9. CUSHING’S
SYNDROME

13. CUSHING’S
SYNDROME

14. DIAGNOSTIC EVALUATION
1. History collection
2. Physical examination
3. CT scan
4. USG
5. Blood samples
6. X-ray of the skull
7. Reduced eosinophils level
8. Excessive plasma cortisol level