Presentation
In the present paper, the authors present the case of a 53-year-old patient with a history of transsphenoidal hypophysectomy and adjuvant radiotherapy, who underwent strabismus surgery for abducens palsy. [ncbi.nlm.nih.gov]
Entire Body System
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Intravenous Administration
During this time the intravenous administration of naloxone has failed to reproduce the preoperative pain. [ncbi.nlm.nih.gov]
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Hypoxemia
He developed difficulty breathing, retraction of the abdominal wall, severe hypoxemia (SpO2 30%), unconsciousness, and cardiac arrhythmia (PVCs and bradycardia). [ncbi.nlm.nih.gov]
Jaw & Teeth
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Lip Numbness
In our series, we found that 18% of patients had a postoperative septal perforation, 2% of which were symptomatic; 6% of patients reported nasal cosmetic deformity; 13% reported transient lip numbness; and 3% reported postoperative nasal dysfunction. [ncbi.nlm.nih.gov]
Workup
Other Pathologies
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Lymphocytic Infiltrate
The authors report the first patient of vasospasm following transsphenoidal hypophysectomy in the treatment of lymphocytic hypophysitis; a rare inflammatory disorder characterized by lymphocytic infiltration of the pituitary gland causing destruction [ncbi.nlm.nih.gov]
Treatment
[…] of hormone treatment may be beneficial in similar cases. [ncbi.nlm.nih.gov]
Prognosis
Complications Usually, this surgery has an excellent prognosis. Little risk is involved with the process. However, the operation can lead to Postoperative Hypoadrenalism if carried out improperly. [primehealthchannel.com]
Etiology
Diet as an etiological factor in the development of cancers of the colon and rectum. Página 71 - MC Pike, BE Henderson, RI Pfeffer. VR Gerkins, M. [books.google.es]
As it is known this procedure was only tried for hormone-dependent bone metastatic tumors, however, interesting results were found when authors tried for different primary etiologies of bone metastasis and found satisfactory improvement of pain [ 4 ]. [omicsonline.org]
Pathophysiology
It makes to question the true pathophysiology which is still unclear. These authors tried the procedure for main types of metastatic disease. [omicsonline.org]
Prevention
The most important morbidity is the intraoperative cerebrospinal fluid (CSF) leakage, which is inherent to this technique and can be successfully prevented with a pedicled nasoseptal flap reconstruction. [ncbi.nlm.nih.gov]
Hypocortisolism-rationale: although steroids should be given during surgery to prevent hypocortisolism, the nurse should assess the client for it. abrupt withdrawal of endogenous cortisol may lead to severe adrenal insufficiency. signs of hypocortisolism [proprofs.com]
The most important morbidity is the intraoperative cerebrospinal fluid leakage, which is inherent to this technique and can be successfully prevented with a pedicled nasoseptal flap reconstruction 10). hypophysectomy.txt · Last modified: 2016/11/13 18 [operativeneurosurgery.com]