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Anesthetic management of a parturient for combined cesarean section and surgical removal of pituitary tumor -A case report
- Source :
- Korean Journal of Anesthesiology, Korean Journal of Anesthesiology, Vol 62, Iss 6, Pp 579-583 (2012)
- Publication Year :
- 2012
- Publisher :
- The Korean Society of Anesthesiologists, 2012.
-
Abstract
- A 40-year-old woman was referred to our hospital because of bitemporal hemianopsia at 23 weeks of gestation. A brain magnetic resonance imaging showed a pituitary tumor having suprasellar extension. At 30 weeks of gestation, she complained of rapidly deteriorating vision and bitemporal hemianopsia in both eyes and the ensuing radiological examination revealed increased tumor size, displaced tumor location and compressed optic chiasm. The cesarean section was performed at 31 weeks and 3 days of gestation and simultaneous surgical removal of pituitary tumor was carried out due to the risk of irreversible blindness. Anesthetic management for combined cesarean section and brain surgery can be more complex and challenging for anesthesiologists, and the aim was to achieve both the control of intracranial pressure and fetal well being at the same time. In this case, maternal outcome was somewhat improved after the procedure, and neonatal complications were not detected.
- Subjects :
- medicine.medical_specialty
Pregnancy
business.industry
Pituitary tumors
Optic chiasm
Anesthetic management
Case Report
medicine.disease
Surgery
lcsh:RD78.3-87.3
Anesthesiology and Pain Medicine
medicine.anatomical_structure
lcsh:Anesthesiology
Surgical removal
medicine
Gestation
Cesarean section
business
Bitemporal hemianopsia
Pituitary tumor
Intracranial pressure
Subjects
Details
- ISSN :
- 20057563 and 20056419
- Volume :
- 62
- Database :
- OpenAIRE
- Journal :
- Korean Journal of Anesthesiology
- Accession number :
- edsair.doi.dedup.....40c4920d6cde175c1e7fdf4e44f14651