title: ANESTHETIC MANAGEMENT IN UNEXPECTED EXTRA- ADRENAL PHEOCROMOCYTOMA PRESENTING WITH THORACIC SPINAL CORD COMPRESSION.
abstract: A 52 yearold female presented with a thoracic paravertebral tumour causing spinal nerve root compression and lower limbs neurologic symptoms. The patient was scheduled to undergo thoracic decompression laminectomy and instrumentation. Markedly severe hemodynamic fluctuations happened during the manipulation of the tumor and continued after the tumor was removed. After multimodal antihypertensive therapy the vital signs were adequately managed and the surgery was successfully performed without complications. The patient was discharged without any sequelae ten days later. The pathology report indicated the diagnosis of extra-adrenal pheochromocytoma. Unexpected pheochromocytoma may lead to a fatal hypertensive crisis during surgery. For anesthesiologists and surgeons who encounter an unexpected hypertensive crisis during surgery, undiagnosed pheochromocytoma should always be considered.
authors.forename: Amr
authors.initials: A
authors.lastname: El Kouny
authors.forename: Mohammed
authors.initials: M
authors.lastname: Al Harbi
authors.forename: Rashid Muhammad
authors.initials: RM
authors.lastname: Arif
authors.forename: Nazar
authors.initials: N
authors.lastname: Ilyas
authors.forename: El Abbasy Omar
authors.initials: el AO
authors.lastname: Hamed
authors.forename: Maqsood
authors.initials: M
authors.lastname: Memon
authors.forename: Ali
authors.initials: A
authors.lastname: Nawaz
authors.forename: Vassilios
authors.initials: V
authors.lastname: Dimitriou
mesh_terms: D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007796:Laminectomy; D008875:Middle Aged; D010673:Pheochromocytoma / Q000150:complications*; D013117:Spinal Cord Compression / Q000628:therapy*; D013125:Spinal Neoplasms / Q000150:complications*