Perioperative management and surgical outcome of the acromegalic patient with sleep apnea

Sleep apnea is a rare complicating factor of acromegaly associated with a high risk of perioperative airway compromise and unclear response to transsphenoidal resection of the underlying pituitary tumor. We reviewed four acromegalic patients with sleep apnea and documented postoperative objective an...

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Bibliographic Details
Published inNeurosurgery Vol. 36; no. 1; p. 70
Main Authors Piper, J G, Dirks, B A, Traynelis, V C, VanGilder, J C
Format Journal Article
LanguageEnglish
Published United States 01.01.1995
Subjects
Acromegaly - complications
Acromegaly - surgery
Craniotomy - methods
Female
Humans
Insulin-Like Growth Factor I - metabolism
Male
Middle Aged
Pituitary Neoplasms - complications
Pituitary Neoplasms - surgery
Postoperative Complications - etiology
Postoperative Complications - therapy
Sleep Apnea Syndromes - etiology
Sleep Apnea Syndromes - surgery
Tracheostomy
Ventilator Weaning
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Summary:Sleep apnea is a rare complicating factor of acromegaly associated with a high risk of perioperative airway compromise and unclear response to transsphenoidal resection of the underlying pituitary tumor. We reviewed four acromegalic patients with sleep apnea and documented postoperative objective and subjective improvement of their sleep disorders. The pathogenesis of this disorder and safe perioperative airway management are discussed.
ISSN:0148-396X
DOI:10.1227/00006123-199501000-00009