Surgical outcome in ACTH secreting microadenoma of Cushings diseaseA case report

Abstract- A 31 years old headmistress presented with headache weight gain , increased blood pressure unresponding to antihypertensive medication and was referred to the Department of Endocrine surgery. Clinical examination revealed puffiness of face and striae of arms and waist but no truncal obesity. She had classical biochemical features of ACTH dependent Cushings disease with partial cortisol suppression in response to dexamethasone. Mri revealed a pituitary microadenoma.The outcome of surgery of the pituitary micro adenoma is highlighted in this paper since surgery for microadenoma is a rarity.