{"id":"https://openalex.org/W2049680367","doi":"https://doi.org/10.1111/j.1365-2265.1992.tb01447.x","title":"Cyclical Cushing's syndrome first diagnosed after pituitary surgery: a trap for the unwary","display_name":"Cyclical Cushing's syndrome first diagnosed after pituitary surgery: a trap for the unwary","publication_year":1992,"publication_date":"1992-03-01","ids":{"openalex":"https://openalex.org/W2049680367","doi":"https://doi.org/10.1111/j.1365-2265.1992.tb01447.x","mag":"2049680367","pmid":"https://pubmed.ncbi.nlm.nih.gov/1563083"},"language":"en","primary_location":{"id":"doi:10.1111/j.1365-2265.1992.tb01447.x","doi":"https://doi.org/10.1111/j.1365-2265.1992.tb01447.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1365-2265.1992.tb01447.x","pdf_url":null,"source":{"id":"https://openalex.org/S182143151","display_name":"Clinical Endocrinology","issn_l":"0300-0664","issn":["0300-0664","1365-2265"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Endocrinology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110401994","display_name":"A. B. Atkinson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"A. B. Atkinson","raw_affiliation_strings":["Sir George E. Clark Metabolic Unit, Royal Victoria Hospital, Belfast, Northern Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sir George E. Clark Metabolic Unit, Royal Victoria Hospital, Belfast, Northern Ireland","institution_ids":["https://openalex.org/I4210130048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5096809486","display_name":"O. R. McCance","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"O. R. McCance","raw_affiliation_strings":["Sir George E. Clark Metabolic Unit, Belfast BT12 6BA, Northern Ireland","Royal Victoria Hospital Belfast"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sir George E. Clark Metabolic Unit, Belfast BT12 6BA, Northern Ireland","institution_ids":[]},{"raw_affiliation_string":"Royal Victoria Hospital Belfast","institution_ids":["https://openalex.org/I4210130048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111760952","display_name":"L. Kennedy","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L. Kennedy","raw_affiliation_strings":["Sir George E. Clark Metabolic Unit, Belfast BT12 6BA, Northern Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sir George E. Clark Metabolic Unit, Belfast BT12 6BA, Northern Ireland","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5109239245","display_name":"B. Sheridan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"B. Sheridan","raw_affiliation_strings":["Regional Endocrine Laboratory, Royal Victoria Hospital, Belfast BT12 6BA, Northern Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Regional Endocrine Laboratory, Royal Victoria Hospital, Belfast BT12 6BA, Northern Ireland","institution_ids":["https://openalex.org/I4210130048"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5110401994"],"corresponding_institution_ids":["https://openalex.org/I4210130048"],"apc_list":{"value":4250,"currency":"USD","value_usd":4250},"apc_paid":null,"fwci":0.7937,"has_fulltext":false,"cited_by_count":45,"citation_normalized_percentile":{"value":0.67153766,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":96},"biblio":{"volume":"36","issue":"3","first_page":"297","last_page":"299"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10832","display_name":"Pituitary Gland Disorders and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10832","display_name":"Pituitary Gland Disorders and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11054","display_name":"Adrenal and Paraganglionic Tumors","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10754","display_name":"Neuroendocrine Tumor Research Advances","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cushing-disease","display_name":"Cushing's disease","score":0.9900000095367432},{"id":"https://openalex.org/keywords/transsphenoidal-microsurgery","display_name":"transsphenoidal microsurgery","score":0.8550000190734863},{"id":"https://openalex.org/keywords/pituitary-surgery","display_name":"pituitary surgery","score":0.8149999976158142},{"id":"https://openalex.org/keywords/postoperative-follow-up","display_name":"postoperative follow-up","score":0.7070000171661377},{"id":"https://openalex.org/keywords/endocrine-follow-up","display_name":"endocrine follow-up","score":0.527999997138977},{"id":"https://openalex.org/keywords/hypercortisolism","display_name":"hypercortisolism","score":0.6710000038146973}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.68851238489151},{"id":"https://openalex.org/C2779435821","wikidata":"https://www.wikidata.org/wiki/Q219102","display_name":"Cushing syndrome","level":2,"score":0.6444606781005859},{"id":"https://openalex.org/C46699223","wikidata":"https://www.wikidata.org/wiki/Q11078","display_name":"Endocrine system","level":3,"score":0.6057742238044739},{"id":"https://openalex.org/C2776810848","wikidata":"https://www.wikidata.org/wiki/Q1947304","display_name":"Cushing's disease","level":3,"score":0.5320727825164795},{"id":"https://openalex.org/C2781437307","wikidata":"https://www.wikidata.org/wiki/Q977628","display_name":"Microsurgery","level":2,"score":0.47767502069473267},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4603095054626465},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.44668304920196533},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4276154339313507},{"id":"https://openalex.org/C121099081","wikidata":"https://www.wikidata.org/wiki/Q665580","display_name":"Trap (plumbing)","level":2,"score":0.42273175716400146},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3748112916946411},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.32550132274627686},{"id":"https://openalex.org/C71315377","wikidata":"https://www.wikidata.org/wiki/Q11364","display_name":"Hormone","level":2,"score":0.05724814534187317},{"id":"https://openalex.org/C87717796","wikidata":"https://www.wikidata.org/wiki/Q146326","display_name":"Environmental engineering","level":1,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003480","descriptor_name":"Cushing Syndrome","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D003480","descriptor_name":"Cushing Syndrome","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D003480","descriptor_name":"Cushing Syndrome","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D003907","descriptor_name":"Dexamethasone","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006854","descriptor_name":"Hydrocortisone","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D010902","descriptor_name":"Pituitary Gland","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D011184","descriptor_name":"Postoperative Period","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/j.1365-2265.1992.tb01447.x","doi":"https://doi.org/10.1111/j.1365-2265.1992.tb01447.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1365-2265.1992.tb01447.x","pdf_url":null,"source":{"id":"https://openalex.org/S182143151","display_name":"Clinical Endocrinology","issn_l":"0300-0664","issn":["0300-0664","1365-2265"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Endocrinology","raw_type":"journal-article"},{"id":"pmid:1563083","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1563083","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical endocrinology","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":7,"referenced_works":["https://openalex.org/W2026692182","https://openalex.org/W2040950362","https://openalex.org/W2053019230","https://openalex.org/W2056581476","https://openalex.org/W2121047543","https://openalex.org/W2168777999","https://openalex.org/W2327307073"],"related_works":["https://openalex.org/W2046121709","https://openalex.org/W1998010223","https://openalex.org/W2014638629","https://openalex.org/W2037661367","https://openalex.org/W7144867301","https://openalex.org/W1992859485","https://openalex.org/W2072157214","https://openalex.org/W2410314500","https://openalex.org/W2323884753","https://openalex.org/W2008652893"],"abstract_inverted_index":{"Three":[0],"patients":[1],"were":[2,15,27],"studied":[3],"after":[4,58],"transsphenoidal":[5,59],"microsurgery":[6],"for":[7,52,61],"Cushing's":[8,32,62],"disease":[9],"because":[10,20],"their":[11],"symptoms":[12],"and":[13,48,54],"signs":[14],"slow":[16],"to":[17],"settle":[18],"and/or":[19],"they":[21],"had":[22],"variable":[23],"endocrine":[24],"results.":[25],"All":[26],"established":[28],"as":[29],"having":[30],"cyclical":[31],"syndrome,":[33],"first":[34],"diagnosed":[35],"post-operatively.":[36],"This":[37],"may":[38],"be":[39],"a":[40],"much":[41],"more":[42],"common":[43],"finding":[44],"than":[45],"previously":[46],"realized":[47],"emphasizes":[49],"the":[50],"need":[51],"detailed":[53],"ongoing":[55],"endocrinological":[56],"investigation":[57],"surgery":[60],"disease.":[63]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2013,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}