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A Patient with Cushing’s Disease for Pituitary Tumor Resection: Anesthetic Challenges and Management


Affiliations
1 Departments of Anaesthesiology and Critical Care, Pt. B. D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
2 Neurosurgery, Pt. B. D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
 

Adrenocorticotrophic hormone‑secreting pituitary adenoma is though quite rare yet carries significant mortality and morbidity due to severe comorbidities associated with them. Transsphenoidal resection of pituitary adenoma is the treatment of choice. While managing these patients, anesthesiologists face hosts of challenges since there are significant alterations in pathophysiology of the body. A thorough understanding of preoperative assessment, intraoperative management, and potential complications is fundamental for successful perioperative outcome. We report a case of Cushing’s disease who underwent pituitary tumor resection and discuss the difficulties encountered and their management.

Keywords

Anesthesia, Cushing’s disease, pituitary gland, transsphenoidal surgery
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  • A Patient with Cushing’s Disease for Pituitary Tumor Resection: Anesthetic Challenges and Management

Abstract Views: 162  |  PDF Views: 90

Authors

Renu Bala
Departments of Anaesthesiology and Critical Care, Pt. B. D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
Garima Vashisht
Departments of Anaesthesiology and Critical Care, Pt. B. D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
Ishwar Singh
Neurosurgery, Pt. B. D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
Saquib Siddique
Neurosurgery, Pt. B. D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India

Abstract


Adrenocorticotrophic hormone‑secreting pituitary adenoma is though quite rare yet carries significant mortality and morbidity due to severe comorbidities associated with them. Transsphenoidal resection of pituitary adenoma is the treatment of choice. While managing these patients, anesthesiologists face hosts of challenges since there are significant alterations in pathophysiology of the body. A thorough understanding of preoperative assessment, intraoperative management, and potential complications is fundamental for successful perioperative outcome. We report a case of Cushing’s disease who underwent pituitary tumor resection and discuss the difficulties encountered and their management.

Keywords


Anesthesia, Cushing’s disease, pituitary gland, transsphenoidal surgery