title: Perioperative management of catecholamine-secreting glomus jugulare tumors.
abstract: To treat patients with a catecholamine-secreting glomus jugulare tumor, perioperative management is important. Perioperative catecholamine hypersecretion causes severe problems in the treatment of a catecholamine-secreting glomus tumor. Therefore, a precise therapeutic strategy and perioperative management are required through collaboration of the endocrinology, anesthesiology, and endocrine surgery departments . We describe our perioperative management for catecholamine-secreting glomus jugulare tumor. The patient was a 31-year-old woman with a 50-mm glomus jugulare tumor and a significantly elevated plasma noradrenaline level of 21,165 pg/ml. Before the surgery, oral α - blocker administration was initiated for ∼ 3 months, and her body weight increased from 52 kg at the time of examination to 54.2 kg. Coil embolization of the tumor vessel was performed 1 week before surgery, and the intense tumor stain was reduced by 90%. The patient underwent almost total removal of the tumor via mastoidectomy with high cervical exposure via the transsigmoid approach. Postoperatively, plasma noradrenaline decreased markedly. Preoperative pharmacologic stabilization and peri- and postoperative anesthetic management are essential for the treatment of a catecholamine-secreting glomus jugulare tumor.
authors.affiliation: Department of Neurosurgery and Stroke Center, Tokyo Metropolitan Police Hospital, Tokyo, Japan.
authors.forename: Yu
authors.initials: Y
authors.lastname: Teranishi
authors.affiliation: Department of Neurosurgery and Stroke Center, Tokyo Metropolitan Police Hospital, Tokyo, Japan.
authors.forename: Michihiro
authors.initials: M
authors.lastname: Kohno
authors.affiliation: Department of Neurosurgery and Stroke Center, Tokyo Metropolitan Police Hospital, Tokyo, Japan.
authors.forename: Shigeo
authors.initials: S
authors.lastname: Sora
authors.affiliation: Department of Neurosurgery and Stroke Center, Tokyo Metropolitan Police Hospital, Tokyo, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Sato
authors.affiliation: Department of Anesthesiology, Tokyo Metropolitan Police Hospital, Tokyo, Japan.
authors.forename: Naoko
authors.initials: N
authors.lastname: Haruyama
keywords: catecholamine; glomus jugular tumor; pheochromocytoma; skull base surgery; surgical strategy
references.citation: Laryngoscope. 1984 Aug;94(8):1008-15
references.pmid: 6087052
references.citation: Neuroradiology. 1987;29(3):277-82
references.pmid: 3039399
references.citation: Br J Anaesth. 2000 Jul;85(1):44-57
references.pmid: 10927994
references.citation: Can J Anaesth. 2006 Mar;53(3):316-21
references.pmid: 16527799
references.citation: Cancer. 1948 Sep;1(3):441-8
references.pmid: 18887911
references.citation: Skull Base Surg. 1996;6(1):35-45
references.pmid: 17170951
references.citation: Br J Anaesth. 1999 Aug;83(2):302-20
references.pmid: 10618948
references.citation: Spinal Cord. 1999 Jul;37(7):480-4
references.pmid: 10438114
references.citation: No Shinkei Geka. 2008 Nov;36(11):1029-34
references.pmid: 19048923
references.citation: J Neurosurg. 2002 Dec;97(6):1356-66
references.pmid: 12507134
references.citation: Laryngoscope. 1993 Nov;103(11 Pt 2 Suppl 60):17-22
references.pmid: 8231589
references.citation: Anesth Analg. 1994 Jan;78(1):112-9
references.pmid: 8267147
references.citation: J Neurosurg. 1987 Apr;66(4):604-8
references.pmid: 3031240
references.citation: Skull Base. 2009 Nov;19(6):377-85
references.pmid: 20436839