Epidural anesthesia for caesarean section in a pregnant patient with pituitary macroadenoma

Anaesthesia for patient with pituitary adenoma posted for non-neurosurgical surgeries is a challenge to the anaesthesiologist with the risk of sudden change in intracranial dynamics during administration of spinal anaesthesia or during stress response of general anaesthesia. There is a chance of inc...

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Bibliographic Details
Published in:Journal of clinical and diagnostic research 2014-07, Vol.8 (7), p.GD01-GD02
Main Authors: R, Remadevi, Babu, D Dinesh, Sureshkumar, K, Patil, Shubhada A
Format: Article
Language:English
Subjects:
obstetric anaesthesia
pituitary tumor
regional anaesthesia
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Summary:Anaesthesia for patient with pituitary adenoma posted for non-neurosurgical surgeries is a challenge to the anaesthesiologist with the risk of sudden change in intracranial dynamics during administration of spinal anaesthesia or during stress response of general anaesthesia. There is a chance of increase in tumour size during antenatal period. A careful assessment of pituitary function and a screening of visual field and fundus examination are essential to rule out any mass effect. We are presenting the anaesthetic management of patient with pituitary macroadenoma posted for elective caesarean section done under epidural anaesthesia due to its rarity.
ISSN:2249-782X
0973-709X
DOI:10.7860/JCDR/2014/9666.4552