Management of a glomus jugulare tumour with internal carotid artery involvement.
A previously healthy 40-year-old female presented for surgical resection of a large glomus jugulare tumour with extensive involvement of the carotid siphon and intracranial extension. Conduct of anaesthesia with specific reference to cerebral protection is discussed. A combination of induced hypothermia, barbiturate therapy, normotension, normocarbia and prior clamping of the distal internal carotid artery was chosen. The role of barbiturates as a therapeutic intervention is debated.
D000328:Adult; D000768:Anesthesia, General; D002343:Carotid Artery, Internal / Q000601:surgery*; D003250:Constriction; D005260:Female; D005925:Glomus Jugulare Tumor / Q000601:surgery*; D006801:Humans; D007036:Hypothermia, Induced; D010236:Paraganglioma, Extra-Adrenal / Q000601:surgery*; D013874:Thiopental / Q000008:administration & dosage
D013874:Thiopental