• A&A practice · Mar 2021

    Case Reports

    Paraganglioma Presenting as Hypoxia and Syncope in Pregnancy: A Case Report.

    • Emad A Elsamadicy, Shekoufeh Yazdani, Arunthevaraja Karuppiah, Isabel Marcano, Ozhan Turan, Bhavani Shankar Kodali, and Rebecca Jessel.
    • From the Departments of Obstetrics, Gynecology and Reproductive Sciences.
    • A A Pract. 2021 Mar 8; 15 (3): e01411.

    AbstractParagangliomas (PGLs) are rare tumors with an incidence of 0.007% in pregnant women. Patients with PGLs commonly present with hypertension and tachycardia. This case report describes the evaluation and management of a multiparous woman at 32 weeks of gestation with syncope, hypoxia, and tachycardia as unusual presenting symptoms of PGL. Her symptoms were attributable to paradoxical effects of circulating catecholamines on downregulated alpha-adrenergic receptors resulting in decreased systemic vascular resistance.Copyright © 2021 International Anesthesia Research Society.

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