Pituitary apoplexy during general anesthesia in beach chair position for shoulder joint arthroplasty.

Abstract

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.

• Authors: Tokito Koga, Mariko Miyao, Masami Sato, Kiichi Hirota, Masahiro Kakuyama, Hiroko Tanabe, Kazuhiko Fukuda
• Journal: Journal of anesthesia (J Anesth) Vol. 24 Issue 3 Pg. 476-8 (Jun 2010) ISSN: 1438-8359 [Electronic] Japan
• PMID: 20339880 (Publication Type: Case Reports, Journal Article)

Topics

• Adenoma (surgery)
• Anesthesia, General
• Arthroplasty, Replacement
• Blood Pressure (drug effects, physiology)
• Diabetes Complications
• Headache (etiology)
• Humans
• Hypophysectomy
• Intraoperative Complications (diagnostic imaging, therapy)
• Magnetic Resonance Imaging
• Male
• Middle Aged
• Ophthalmoplegia (complications)
• Pituitary Apoplexy (diagnostic imaging, etiology, surgery)
• Pituitary Neoplasms (surgery)
• Postoperative Complications (therapy)
• Posture
• Shoulder Joint (surgery)
• Shoulder Pain (surgery)
• Tomography, X-Ray Computed