Literature DB >> 9771323

Cushing's disease treated by trans-sphenoidal selective adenomectomy in mid-pregnancy.

A Mellor1, R D Harvey, L H Pobereskin, J R Sneyd.   

Abstract

The clinical course and diagnosis of a patient with Cushing's disease complicated by pregnancy is described, and the anaesthetic management of trans-sphenoidal selective adenomectomy performed during the second trimester outlined. Problems included obesity, diabetes, hypertension and a suboptimal airway. Fibreoptic awake intubation and intravenous anaesthesia were used. Insulin requirements decreased substantially after surgery. Early administration of hydrocortisone after surgery avoided the risk of an addisonian crisis but delayed biochemical confirmation of a metabolic cure.

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Year:  1998        PMID： 9771323     DOI： 10.1093/bja/80.6.850

Source DB:  PubMed          Journal:  Br J Anaesth        ISSN： 0007-0912            Impact factor:   9.166


  10 in total

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Review 2.  Cushing's disease and pregnancy.

Authors:  Nicoletta Polli; Francesca Pecori Giraldi; Francesco Cavagnini
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Review 3.  Approach to Cushing's syndrome in pregnancy: two cases of Cushing's syndrome in pregnancy and a review of the literature.

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Journal:  Ann Transl Med       Date:  2019-09

Review 4.  Surgical indications for pituitary tumors during pregnancy: a literature review.

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Journal:  Pituitary       Date:  2020-04       Impact factor: 4.107

Review 5.  Management of pituitary tumors in pregnancy.

Authors:  Marcello D Bronstein; Diane B Paraiba; Raquel S Jallad
Journal:  Nat Rev Endocrinol       Date:  2011-03-15       Impact factor: 43.330

6.  Diagnosis and treatment outcomes of Cushing's disease during pregnancy.

Authors:  Kalyani Sridharan; Jayaprakash Sahoo; Rajan Palui; Milind Patil; Sadishkumar Kamalanathan; A S Ramesh; N S Kubera
Journal:  Pituitary       Date:  2021-03-29       Impact factor: 4.107

Review 7.  Review of Presentation, Diagnosis and Management of Pituitary Tumours in Pregnancy.

Authors:  Kimberley Lambert; Catherine Williamson
Journal:  Obstet Med       Date:  2013-03-01

Review 8.  Endocrine causes of hypertension in pregnancy.

Authors:  Alison H Affinati; Richard J Auchus
Journal:  Gland Surg       Date:  2020-02

9.  Surgical management of recurrent Cushing's disease in pregnancy: A case report.

Authors:  Mahmoud Abbassy; Varun R Kshettry; Amir H Hamrahian; Philip C Johnston; Georgianna A Dobri; Rafi Avitsian; Troy D Woodard; Pablo F Recinos
Journal:  Surg Neurol Int       Date:  2015-11-25

Review 10.  The diagnosis and management of Cushing's syndrome in pregnancy.

Authors:  Ross Hamblin; Amy Coulden; Athanasios Fountas; Niki Karavitaki
Journal:  J Neuroendocrinol       Date:  2022-05-01       Impact factor: 3.870
  10 in total

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