• Journal of anesthesia · Jun 2010

    Case Reports

    Pituitary apoplexy during general anesthesia in beach chair position for shoulder joint arthroplasty.

    • Tokito Koga, Mariko Miyao, Masami Sato, Kiichi Hirota, Masahiro Kakuyama, Hiroko Tanabe, and Kazuhiko Fukuda.
    • Department of Anesthesia, Kyoto University Hospital, 54 Shogoin-Kawaracho, Sakyo-Ku, Kyoto 606-8507, Japan.
    • J Anesth. 2010 Jun 1;24(3):476-8.

    AbstractPituitary apoplexy is a rare but potentially life-threatening clinical syndrome caused by the sudden enlargement of pituitary adenoma secondary to infarction and/or hemorrhage. It may be the first presentation of previously undiagnosed pituitary adenoma. Although various precipitating factors of pituitary apoplexy are indicated, the pathogenesis remains unknown. In this report, we describe for the first time a case of pituitary apoplexy developed explicitly during general anesthesia supplemented with interscalene brachial plexus block in beach chair or barbershop position for shoulder joint arthroplasty.

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