Removal of catecholamine‐secreting chemodectoma The use of neuroleptanaesthesia, adrenergic blockade and sodium nitroprusside

Removal of catecholamine‐secreting chemodectoma The use of neuroleptanaesthesia, adrenergic blockade and sodium nitroprusside

A case of catecholamine-secreting chemodectoma of the neck in a 47-year-old male who also had temporal lobe epilepsy is described. Details of presentation, diagnosis and successful treatment are given. He was fully alpha blocked with phenoxybenzamine and given neuroleptic drugs but his blood pressur...

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Veröffentlicht in:Anaesthesia 1976-11, Vol.31 (9), p.1225-1230
Hauptverfasser: CLARKE, A. D., MATHESON, H., BODDIE, H. G.
Format: Artikel
Sprache:eng
Schlagworte:
Blood Pressure - drug effects
Carotid Body Tumor - metabolism
Carotid Body Tumor - surgery
Catecholamines - metabolism
Epilepsy, Temporal Lobe - etiology
Head and Neck Neoplasms - metabolism
Head and Neck Neoplasms - surgery
Humans
Male
Middle Aged
Neuroleptanalgesia
Nitroprusside - pharmacology
Phenoxybenzamine
Propranolol
Sympatholytics
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Zusammenfassung:A case of catecholamine-secreting chemodectoma of the neck in a 47-year-old male who also had temporal lobe epilepsy is described. Details of presentation, diagnosis and successful treatment are given. He was fully alpha blocked with phenoxybenzamine and given neuroleptic drugs but his blood pressure rose to dangerous levels when the tumour was handled and did not respond to intravenous phentolamine. Sodium nitroprusside was successfully used to achieve blood pressure control.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1976.tb11976.x