Author/Authors :
Arshad، Faheem نويسنده Sher-i-Kashmir Institute of Medical Sciences (SKIMS) Soura, Resident Scholar Endocrinology, Srinagar, India , , Laway، Bashir Ahmad نويسنده Department of Endocrinology , , Bhat، Manzoor Ahmad نويسنده MD internal medicine, Department of Endocrinology , , Irfan Showkat، hakim نويسنده Sher-i-Kashmir Institute of Medical Sciences (SKIMS) Soura, Resident Scholar Endocrinology, Srinagar, India , , Kumar Kotwal، Suman نويسنده Department of Endocrinology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, India , , Ahmad Mir، shahnaz نويسنده Sher-i-Kashmir Institute of Medical Sciences (SKIMS) Soura, Resident Scholar Endocrinology, Srinagar, India ,
Abstract :
Nelson’s syndrome nowadays a rare entity results from an adrenocorticotropin (ACTH)–secreting pituitary adenoma in patients with refractory Cushingʹs 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).
