Document Detail

Pituitary apoplexy during general anesthesia in beach chair position for shoulder joint arthroplasty.
MedLine Citation:
PMID:  20339880     Owner:  NLM     Status:  MEDLINE    
Pituitary apoplexy is a rare but potentially life-threatening clinical syndrome caused by the sudden enlargement of pituitary adenoma secondary to infarction and/or hemorrhage. It may be the first presentation of previously undiagnosed pituitary adenoma. Although various precipitating factors of pituitary apoplexy are indicated, the pathogenesis remains unknown. In this report, we describe for the first time a case of pituitary apoplexy developed explicitly during general anesthesia supplemented with interscalene brachial plexus block in beach chair or barbershop position for shoulder joint arthroplasty.
Tokito Koga; Mariko Miyao; Masami Sato; Kiichi Hirota; Masahiro Kakuyama; Hiroko Tanabe; Kazuhiko Fukuda
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-03-26
Journal Detail:
Title:  Journal of anesthesia     Volume:  24     ISSN:  1438-8359     ISO Abbreviation:  J Anesth     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-14     Completed Date:  2010-09-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8905667     Medline TA:  J Anesth     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  476-8     Citation Subset:  IM    
Department of Anesthesia, Kyoto University Hospital, 54 Shogoin-Kawaracho, Sakyo-Ku, Kyoto 606-8507, Japan.
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MeSH Terms
Adenoma / surgery
Anesthesia, General*
Arthroplasty, Replacement*
Blood Pressure / drug effects,  physiology
Diabetes Complications
Headache / etiology
Intraoperative Complications / radiography,  therapy*
Magnetic Resonance Imaging
Middle Aged
Ophthalmoplegia / complications
Pituitary Apoplexy / etiology*,  radiography,  surgery*
Pituitary Neoplasms / surgery
Postoperative Complications / therapy
Shoulder Joint / surgery*
Shoulder Pain / surgery
Tomography, X-Ray Computed

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