Neurosciences Case Studies


A 49-year-old man was referred by his dentist to Dr. Adriana Ioachimescu at the Neuroendocrine Clinic for treatment of a severe underbite. He had a history of hypertension. Upon questioning, it was discovered that he had experienced an increase in shoe size and snoring for at least three years. A physical exam demonstrated significant features of acromegaly. Learn more >>

Colloid Cysts

Debate remains whether complete excision of colloid cysts, including capsule and contents, can be achieved routinely by the pure endoscopic method. Costas Hadjipanayis, MD, reported the largest single-institution series of 42 patients who underwent complete neuroendoscopic resection of their colloid cyst. Hadjipanayis presented his findings at the American Association of Neurological Surgeons Annual Scientific Meeting 2011 in Denver, CO. Learn more >>

Cushing's Disease Treatment

A 19-year-old woman was referred to Dr. Adriana Ioachimescu for evaluation following an abnormal 1-mg dexamethasone suppression test. She started to experience weight gain, hirsutism and oligomenorrhea at age 16. At that time, she was diagnosed with type 2 diabetes, which was not controlled, despite oral medications and 200 units of insulin daily. Learn more >>

Lesion Therapy for Parkinson's

More than a decade ago, Emory became one of the first centers in the U.S. to perform deep brain stimulation (DBS) to treat symptoms of Parkinson’s disease (PD). Since then, DBS has eclipsed lesion therapy as the standard first-line treatment for eligible patients in whom medication therapy is no longer sufficient, whether due to waning of its therapeutic effect, Dyskinesia or side effects. Learn more >>

Parkinson’s disease After DBS

The patient is a 54-year-old man who has had Parkinson’s disease since 1999 (age of onset 42). His initial symptoms were trouble manipulating his right hand, difficulty brushing his teeth, brushing his hair, shampooing his hair, and prior to that, Micrographia, related to the fact that his hand did not move very smoothly. Learn more >>

Silent ACTH Pituitary Adenoma

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Pediatric Cushing’s Syndrome

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