{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:02:51Z","timestamp":1787025771631,"version":"build-2736575974"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>A 54-year-old male with a history of diabetes mellitus type 2 for 12 years and hypertension was seen in the clinic due to poorly controlled diabetes. Inferior petrosal sinus sampling (IPSS) confirmed Cushing\u2019s disease with primary adrenocorticotropic hormone (ACTH)\u2013secreting pituitary adenoma on the right. However, 3T and subsequent 7T MRI showed no visible tumor. An endoscopic transsphenoidal approach was selected to explore the pituitary gland and resect the presumed microadenoma. Tumor was identified in the lateral recess along the right medial cavernous sinus wall and gross-total resection (GTR) was performed. The normal pituitary gland was preserved, and the patient went into remission.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2023.4.FOCVID2324\">https:\/\/stream.cadmore.media\/r10.3171\/2023.4.FOCVID2324<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2023.4.focvid2324","type":"journal-article","created":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T08:55:47Z","timestamp":1688201747000},"page":"V5","source":"Crossref","is-referenced-by-count":2,"title":["Endoscopic endonasal approach for MRI\u2013Negative Cushing\u2019s microadenoma"],"prefix":"10.3171","volume":"9","author":[{"given":"Jeffrey J.","family":"Feng","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Keck School of Medicine of University of Southern California, Los Angeles;"},{"name":"University of Southern California Brain Tumor Center, Los Angeles;"},{"name":"University of Southern California Pituitary Center, Los Angeles, California; and"},{"name":"Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie K.","family":"Cheok","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Keck School of Medicine of University of Southern California, Los Angeles;"},{"name":"University of Southern California Brain Tumor Center, Los Angeles;"},{"name":"University of Southern California Pituitary Center, Los Angeles, California; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander G.","family":"Chartrain","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Keck School of Medicine of University of Southern California, Los Angeles;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John D.","family":"Carmichael","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Keck School of Medicine of University of Southern California, Los Angeles;"},{"name":"University of Southern California Brain Tumor Center, Los Angeles;"},{"name":"University of Southern California Pituitary Center, Los Angeles, California; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark S.","family":"Shiroishi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Keck School of Medicine of University of Southern California, Los Angeles;"},{"name":"University of Southern California Brain Tumor Center, Los Angeles;"},{"name":"University of Southern California Pituitary Center, Los Angeles, California; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J.","family":"Mack","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Keck School of Medicine of University of Southern California, Los Angeles;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Zada","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Keck School of Medicine of University of Southern California, Los Angeles;"},{"name":"University of Southern California Brain Tumor Center, Los Angeles;"},{"name":"University of Southern California Pituitary Center, Los Angeles, California; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"BMC Endocr Disord","first-page":"154","article-title":"MRI\u2013Negative Cushing\u2019s disease: management strategy and outcomes in 15 cases utilizing a pure endoscopic endonasal approach","volume":"22","author":"Sharifi G","year":"2022","unstructured":"Sharifi G, Amin AA, Sabahi M,  MRI\u2013Negative Cushing\u2019s disease: management strategy and outcomes in 15 cases utilizing a pure endoscopic endonasal approach. BMC Endocr Disord. 2022;22(1):154.35676664"},{"issue":"2","key":"b2","series-title":"Eur J Endocrinol","first-page":"207","article-title":"Use of late-night salivary cortisol to monitor response to medical treatment in Cushing\u2019s disease","volume":"182","author":"Newell-Price J","year":"2020","unstructured":"Newell-Price J, Pivonello R, Tabarin A,  Use of late-night salivary cortisol to monitor response to medical treatment in Cushing\u2019s disease. Eur J Endocrinol. 2020;182(2):207\u2013217.31804965"},{"key":"b3","series-title":"World Neurosurg","first-page":"600","article-title":"First application of 7-T magnetic resonance imaging in endoscopic endonasal surgery of skull base tumors","volume":"103","author":"Barrett TF","year":"2017","unstructured":"Barrett TF, Dyvorne HA, Padormo F,  First application of 7-T magnetic resonance imaging in endoscopic endonasal surgery of skull base tumors. World Neurosurg. 2017;103:600\u2013610.28359922"},{"issue":"8","key":"b4","series-title":"Neuroradiology","first-page":"1051","article-title":"Ultra-high field magnetic resonance imaging for localization of corticotropin-secreting pituitary adenomas","volume":"62","author":"Patel V","year":"2020","unstructured":"Patel V, Liu CJ, Shiroishi MS,  Ultra-high field magnetic resonance imaging for localization of corticotropin-secreting pituitary adenomas. Neuroradiology. 2020;62(8):1051\u20131054.32306052"},{"issue":"2","key":"b5","series-title":"J Neurosurg","first-page":"347","article-title":"Value of pituitary gland MRI at 7 T in Cushing\u2019s disease and relationship to inferior petrosal sinus sampling: case report","volume":"130","author":"Law M","year":"2019","unstructured":"Law M, Wang R, Liu CSJ,  Value of pituitary gland MRI at 7 T in Cushing\u2019s disease and relationship to inferior petrosal sinus sampling: case report. 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