Bilateral cerebral oxygen saturation monitoring in carotid body tumour excision under general anaesthesia: a case report

Authors

  • Jagriti Singh Department of Anaesthesiology, Dr. D. Y. Patil Medical College, Nerul, Navi Mumbai, Maharashtra, India
  • Gayatri Karandikar Department of Anaesthesiology, Dr. D. Y. Patil Medical College, Nerul, Navi Mumbai, Maharashtra, India
  • Kaustubh Zirpe Department of Anaesthesiology, Dr. D. Y. Patil Medical College, Nerul, Navi Mumbai, Maharashtra, India
  • Balasaheb Govardhane Department of Anaesthesiology, Dr. D. Y. Patil Medical College, Nerul, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20230681

Keywords:

Carotid body tumour, Cerebral blood flow, Hypotensive anaesthesia

Abstract

Carotid Body tumour is an uncommon non-chromaffin paraganglioma arising from chemoreceptor cells at the external and internal carotid artery bifurcation. The reported incidence is 1-2 cases per 1,00,000 population. Surgical excision is extremely difficult and possess challenges to both surgeon and the anaesthetist. We report here a case of CBT excision with the use of cerebral oximetry to reduce the chances of intra-operative cerebral ischemia.

 

References

Sevilla Garcia MA, Llorente Pendas JL, Rodrigo Tapia JP, Garcia Rostan G, Suarez Fente V, Coca Pelaz A. Head and neck paragangliomas: Revision of 89 cases in 73 patients. Acta Otorrinolaringol Esp. 2007;58:94-100.

Kavakli AS, Ozturk NK. Anesthetic approaches in carotid body tumor surgery. North Clin Istanb. 2016;3(2):97-103.

Shivanand LK, Sangamesh K, Akshaya NS. Anesthetic management of carotid body tumor excision: A case report and brief review Anesth Essays Res. 2014;8(2):259-62.

Forbes J, Ritesh GM. Anatomy, Head and Neck, Carotid Bodies NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. StatPearls. Treasure Island (FL): StatPearls Publishing. 2022.

Grönblad M. Function and structure of the carotid body. Med Biol. 1983;61(5):229-48.

Wieneke JA, Smith A. Paraganglioma: Carotid Body Tumor. Head Neck Pathol. 2009;3(4):303-6.

Davidovic LB, Djukic VB, Vasic DM, Sindjelic RP, Duvnjak SN. Diagnosis and treatment of carotid body paraganglioma: 21 years of experience at a clinical centre of Serbia. World J Surg Oncol. 2005;3(1):10.

Hua Q, Xu Z, Jiang Y. Diagnosis and surgical treatment of carotid body tumor: A retrospective analysis of 58 patients. Oncol Lett. 2017;14(3):3628-32.

Truong AT, Thakar S, Dam-Thuy T. Carotid Body Paraganglioma; A Rare Tumor with Serious Anesthetic Challenges. Anesthesiology. 2017;126(6):1170.

Tay YC, Abdullah HR. Carotid Body Tumor Excision with In Vivo Optical Spectroscopy (INVOS) Cerebral Regional Oxygen Saturation Monitoring under Anesthesia. J Vascular J Med Surg. 2013;1(4):1-3.

Végh T. Cerebral Oximetry in General Anaesthesia. Turk J Anaesthesiol Reanim. 2016;44(5):247-9.

Downloads

Published

2023-03-16

How to Cite

Singh, J., Karandikar, G., Zirpe, K., & Govardhane, B. (2023). Bilateral cerebral oxygen saturation monitoring in carotid body tumour excision under general anaesthesia: a case report. International Journal of Research in Medical Sciences, 11(4), 1365–1368. https://doi.org/10.18203/2320-6012.ijrms20230681

Issue

Section

Case Reports