title: Acute circulatory deficiency due to endocrinal tumoral manipulation: the pinealoblastoma.
abstract: We rapport the case of a patient presenting intra-abdominal metastasis of a pinealoblastoma, via a ventriculo-peritoneal shunt, confirmed by an anatomo-pathologic exam. The patient presented an acute hydrocephalus secondary to DVP dysfunction. The surgical manipulation of this metastasis had caused an acute circulatory deficiency due to massive serotonin release. In this case we analyze pineal gland physiology and serotonin effect on different systems.
authors.affiliation: AHU anesthésie réanimation CHU sahloul-sousse6tunisie.
authors.forename: Chemchihik
authors.initials: C
authors.lastname: Heithem
authors.affiliation: AHU anesthésie réanimation CHU sahloul-sousse6tunisie.
authors.forename: Ghazi
authors.initials: G
authors.lastname: Issaoui
authors.affiliation: AHU anesthésie réanimation CHU sahloul-sousse6tunisie.
authors.forename: Mejdi
authors.initials: M
authors.lastname: Khadraoui
authors.affiliation: Neurosurgery service of the UHC Sahloul, Sousse-Tunisia.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Ladib
authors.affiliation: AHU anesthésie réanimation CHU sahloul-sousse6tunisie.
authors.forename: Walid
authors.initials: W
authors.lastname: Naija
authors.affiliation: AHU anesthésie réanimation CHU sahloul-sousse6tunisie.
authors.forename: Rachid
authors.initials: R
authors.lastname: Said
mesh_terms: D000008:Abdominal Neoplasms / Q000556:secondary; D000293:Adolescent; D001932:Brain Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery; D009362:Neoplasm Metastasis; D010870:Pineal Gland / Q000473:pathology*; D010871:Pinealoma / Q000473:pathology*; D012701:Serotonin / Q000378:metabolism*; D017287:Ventriculoperitoneal Shunt / Q000379:methods
chemical_list: D012701:Serotonin
keywords: Pinealoblastoma; VP shunt; circulatory deficiency; metastasis; serotonin