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Hypophysectomy
Hypophysectomies

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]

The patient presented bilateral rales on auscultation and a frothy pinkish secretion could be seen inside the endotracheal tube, which was compatible with NPPE. [scielo.br]

Respiratoric

  • Inspiratory Stridor

    Clinically, inspiratory stridor, tachypnea, hypoxia, hypercapnia, tachycardia, decreased tidal volume, and paradoxal respiration or uncoordinated ventilatory patterns are present. [scielo.br]

  • Aspiration

    The differential diagnosis includes aspiration of gastric contents, non-diagnosed cardiac disease, fluid overload, and anaphylaxis. Treatment of NPPE is supportive, maintaining opened airways and oxygenation. [scielo.br]

  • Stridor

    Clinically, inspiratory stridor, tachypnea, hypoxia, hypercapnia, tachycardia, decreased tidal volume, and paradoxal respiration or uncoordinated ventilatory patterns are present. [scielo.br]

Face, Head & Neck

  • Short Neck

    Physical exam showed macroglossia, short neck, thyromental distance less than 6 cm, and Mallampati 4. Laboratory exams were within normal limits. [scielo.br]

Workup

X-Ray

  • Bilateral Pulmonary Infiltrates

    A chest X-ray (Figure 1) demonstrated bilateral pulmonary infiltrates, especially in the central region, without gross peripheral changes. [scielo.br]

  • Pulmonary Edema on Chest X-Ray

    The chest X-ray shows diffuse alveolar-interstitial edema probably bilateral, more centrally located, enlarged pulmonary hilum, and normal heart size 8. [scielo.br]

  • Pulmonary Infiltrate

    A chest X-ray (Figure 1) demonstrated bilateral pulmonary infiltrates, especially in the central region, without gross peripheral changes. [scielo.br]

Serum

  • Alkaline Phosphatase Decreased

    It was also noted that the activity of alkaline phosphatase decreased due in part to hypophysectomy. [fr.bab.la]

Treatment

[…] of hormone treatment may be beneficial in similar cases. [ncbi.nlm.nih.gov]

Place of Hypophysectomy in the neurosurgical treatment of pain. Adv. Neusurg. 3: 164,1975. 8. Hardy, J.: Le traitment du cáncer du sein metastasique par l’hypophysectomy. In The neurosurgical treatment of pain. Adv. Neurosurg. 3: 264, 1975. 9. [revistadigital.uce.edu.ec]

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]

It has a good prognosis because the event is self-limited and patients are usually healthy. [scielo.br]

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

The pathophysiology is secondary to a sudden reduction in pericapilary pulmonary interstitial pressure due to forced inspiration 1. [scielo.br]

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]

The most important one is to prevent cerebral oedema caused by retraction of the frontal lobe for a long time. [link.springer.com]

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