Evidence map›Paper›PMID 39676152›Full record

ArticleHormones (Athens, Greece)2025

Lateralization outcomes of bilateral inferior petrosal sinus sampling: desmopressin vs CRH.

Buruc Erkan, Mehmet Said Cil, Mehmet Cingoz, Sebnem Burhan, Seyma Aksoy, Sabahattin Yuzkan, Ebubekir Akpinar, Suat Demir, Osman Tanriverdi, Burak Kocak and 7 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Hormones (Athens, Greece), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Buruc ErkanDepartment of Neurosurgery, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey.ORCID http://orcid.org/0000-0001-8586-0613
Mehmet Said CilDepartment of Neurosurgery, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey.ORCID http://orcid.org/0009-0008-3507-2289
Mehmet CingozDepartment of Radiology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey.ORCID http://orcid.org/0000-0002-6937-2692
Sebnem BurhanDepartment of Endocrinology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey.ORCID http://orcid.org/0000-0001-9260-5696
Seyma AksoyDepartment of Endocrinology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey.ORCID http://orcid.org/0000-0001-9816-6444
Sabahattin YuzkanDepartment of Radiology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey.ORCID http://orcid.org/0000-0002-3066-1737
Ebubekir AkpinarDepartment of Neurosurgery, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey.ORCID http://orcid.org/0000-0002-4069-0021
Suat DemirDepartment of Neurosurgery, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey.ORCID http://orcid.org/0000-0001-8344-4210
Osman TanriverdiDepartment of Neurosurgery, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey.ORCID http://orcid.org/0000-0002-4846-4213
Burak KocakDepartment of Radiology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey.ORCID http://orcid.org/0000-0002-7307-396X
Ilkay CakirDepartment of Endocrinology, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy, Istanbul, 34147, Turkey.ORCID http://orcid.org/0000-0003-0420-2606
Sema CiftciDepartment of Endocrinology, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy, Istanbul, 34147, Turkey.ORCID http://orcid.org/0000-0002-0383-6562
Feyza Yener OzturkDepartment of Endocrinology, University of Health Sciences, Istanbul Sisli Hamidiye Etfal Training and Research Hospital, Sisli, Istanbul, 34371, Turkey.ORCID http://orcid.org/0000-0001-5584-4954
Omur GunaldiDepartment of Neurosurgery, Medicana Atakoy Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-5071-1319
Yuksel AltuntasDepartment of Endocrinology, University of Health Sciences, Istanbul Sisli Hamidiye Etfal Training and Research Hospital, Sisli, Istanbul, 34371, Turkey.ORCID http://orcid.org/0000-0002-3559-035X
Mutlu NiyaziogluDepartment of Endocrinology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey.ORCID http://orcid.org/0000-0003-4796-8425
Esra Suheda HatipogluDepartment of Endocrinology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir, Istanbul, 34480, Turkey. dresrah@gmail.com.ORCID http://orcid.org/0000-0001-8361-8866

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBilateral inferior petrosal sinus sampling (BIPSS) is the gold standard for localizing ACTH-dependent Cushing's syndrome (CS). While corticotropin-releasing hormone (CRH) was initially used for stimulation, desmopressin has become a common alternative. This research evaluates desmopressin's effectiveness in lateralizing Cushing's disease (CD) during BIPSS compared to CRH stimulation.

methodsThe study included 33 individuals with ACTH-dependent CS who underwent BIPSS and had diagnoses confirmed by endoscopic endonasal transsphenoidal pituitary surgery (EETPS). Fourteen participants underwent BIPSS with CRH and 19 with desmopressin. A comparative analysis was conducted.

resultsBIPSS accurately lateralized 76% of cases, specifically, 71% with CRH and 79% with desmopressin (p = 0.2). For tumors < 6 mm on MRI, overall accuracy was 82%, namely, 75% with CRH and 90% with desmopressin (p = 0.4). IPSS achieved 100% accuracy in the four cases with no lesion on preoperative MRI.

conclusionThis study demonstrates no significant difference in lateralization accuracy between desmopressin and CRH for IPSS. In challenging cases, especially those with microadenomas or non-lesional CD, desmopressin with IPSS aids in preoperative lateralization.

Indexed as

Corticotropin-Releasing HormoneDeamino Arginine VasopressinPetrosal Sinus SamplingPituitary ACTH HypersecretionAdultAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedYoung AdultCorticotropin-Releasing HormoneDeamino Arginine VasopressinACTHCortisolCushing’s diseaseEndoscopic endonasal transsphenoidal surgeryPituitary

Identifiers

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.