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CISTERNOGRAPHY COMBINED WITH LINEAR TOMOGRAPHY FOR VISUALIZATION OF PITUITARY LESIONS IN DOGS WITH PITUITARY-DEPENDENT HYPERADRENOCORTICISM
Authors:George  Voorhout  DVM  PHD  Ad  Rijnberk  DVM  PHD
Affiliation:Department of Radiology, Faculty of Veterinary Medicine, State University of Utrecht, The Netherlands.;Small Animal Clinic, Faculty of Veterinary Medicine, State University of Utrecht, The Netherlands.
Abstract:Cisternography combined with sagittal linear tomography was performed in eight dogs with pituitary-dependent hyperadrenocorticism, in search of pituitary lesions. In one dog with a pituitary microadenoma, the dimensions of the pituitary gland were within normal limits. In six dogs the pituitary gland was enlarged. In the remaining dog the pituitary gland was also enlarged, but could not be measured due to absence of contrast medium in the cisternae around the pituitary gland. In these seven dogs large pituitary tumors were found at autopsy. With linear tomography the height of the pituitary gland could only be measured in the dog with the microadenoma. In all other dogs compression of the subarachnoid space at the dorsal aspect of the pituitary gland interfered with the assessment of the height of the pituitary lesion, and therefore with the assessment of the presence and extent of compression of the hypothalamus. It is concluded that cisternography combined with linear tomography provides information about the size of the pituitary gland and the presence of suprasellar expansion, although the present technique does not allow an assessment of the severity of the suprasellar expansion.
Keywords:Key words: cisternography   linear tomography   pituitary lesion   pituitary-dependent hyperadrenocorticism   dog
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