Background: Carotid body tumours (CBTs) are rare tumours that arise from chemoreceptor cells at the bifurcation of carotid artery. Excision of CBT poses several anesthetic challenges and may be complicated with marked...Background: Carotid body tumours (CBTs) are rare tumours that arise from chemoreceptor cells at the bifurcation of carotid artery. Excision of CBT poses several anesthetic challenges and may be complicated with marked intraoperative hemodynamic instability and turbulent postoperative recovery. Attention to details and a meticulous anesthetic plan are essential for successful anesthetic management. Aim: To present anaesthetic management and challenges for carotid body tumour excision in a young Nigerian. Case Presentation: A 26-year-old man presented with left sided slow growing neck tumour. The tumour was completely excised with no anaesthetic or surgical complication. Histology and immunohistochemistry of the excised tumour confirmed paraganglioma. He was discharged fifteenth post-operative day. Conclusion: General anesthesia is the preferred technique. The basic elements of anesthetic management are protection of hemodynamic stability and maintenance of cerebral perfusion pressure (CPP).展开更多
Carotid body tumour （CBT） is a rare neoplasm arising from para^an^lion cells of the carotid body.1 Sureical resection of the CBT is considered the primary treatment option, and the only one which can allow a definit...Carotid body tumour （CBT） is a rare neoplasm arising from para^an^lion cells of the carotid body.1 Sureical resection of the CBT is considered the primary treatment option, and the only one which can allow a definitive cure.^1-3 The resection is particularly difficult because the tumour is adherent to the carotid adventitia, is highly vascularized, often involves the cranial nerves, and is in a limited field for exposure, consequently, the intervention is associated with high morbidity due to risk of nervous injuries, stroke, was well as hemorrhage shock.^1-3展开更多
文摘Background: Carotid body tumours (CBTs) are rare tumours that arise from chemoreceptor cells at the bifurcation of carotid artery. Excision of CBT poses several anesthetic challenges and may be complicated with marked intraoperative hemodynamic instability and turbulent postoperative recovery. Attention to details and a meticulous anesthetic plan are essential for successful anesthetic management. Aim: To present anaesthetic management and challenges for carotid body tumour excision in a young Nigerian. Case Presentation: A 26-year-old man presented with left sided slow growing neck tumour. The tumour was completely excised with no anaesthetic or surgical complication. Histology and immunohistochemistry of the excised tumour confirmed paraganglioma. He was discharged fifteenth post-operative day. Conclusion: General anesthesia is the preferred technique. The basic elements of anesthetic management are protection of hemodynamic stability and maintenance of cerebral perfusion pressure (CPP).
文摘Carotid body tumour （CBT） is a rare neoplasm arising from para^an^lion cells of the carotid body.1 Sureical resection of the CBT is considered the primary treatment option, and the only one which can allow a definitive cure.^1-3 The resection is particularly difficult because the tumour is adherent to the carotid adventitia, is highly vascularized, often involves the cranial nerves, and is in a limited field for exposure, consequently, the intervention is associated with high morbidity due to risk of nervous injuries, stroke, was well as hemorrhage shock.^1-3
