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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Epidural anesthesia for caesarean section in a pregnant patient with pituitary macroadenoma

Remadevi R1, D Dinesh Babu1, K Sureshkumar2

  • 1Assistant Professor, Department of Anaesthesiology, Sri Manakula Vinayagar Medical College and Hospital , Pondicherry, India .

Journal of Clinical and Diagnostic Research : JCDR
|September 2, 2014
PubMed

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.

Keywords:
Obstetric anaesthesiaPituitary tumorRegional anaesthesia

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