| Title |
Pituitary Apoplexy Occurring During Large Volume Liposuction Surgery |
| Creator |
Cohen, A; Kishore, K; Wolansky, L; Frohman, L |
| Affiliation |
UMDNJ-Robert Wood Johnson Medical School, Newark, NJ 07103-2441, USA. |
| Abstract |
A 50-year-old woman developed headache and right-sided ophthalmoplegia upon awakening from general anesthesia after liposuction surgery on her abdomen, hips, and thighs. Neuroimaging showed hemorrhage within a previously undiagnosed pituitary adenoma. The confirmatory surgical specimen contained areas of gross infarction and hemorrhage. The anesthesia record revealed intraoperative reduction of systolic blood pressure to 90 mm Hg for 30 minutes from a baseline of 120 mm Hg. This first reported case of pituitary apoplexy during liposuction surgery probably resulted from intraoperative hypotension attributed to a combination of general anesthesia, the use of subcutaneous lidocaine, sequestration of plasma in injured tissues, and blood loss. |
| Subject |
Abdomen/surgery; Anesthesia, General/adverse effects; Anesthetics, Local/administration & dosage; Female; Hip/surgery; Humans; Injections, Subcutaneous; Intraoperative Complications; Lidocaine/administration & dosage; Lipectomy/adverse effects; Lipectomy/methods; Magnetic Resonance Imaging; Middle Older people; Pituitary Apoplexy/diagnosis; Pituitary Apoplexy/etiology; Thigh/surgery |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
225376 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6p87j0r/225376 |
