Anaesthetic Management of a Child with Pituitary Stalk Interruption Syndrome for Dental Surgery
Journal Title: Chettinad Health City Medical Journal - Year 2017, Vol 6, Issue 4
Abstract
Pituitary Stalk Interruption Syndrome (PSIS) is a rare congenital anomaly of pituitary gland characterized by triad of thin or interrupted pituitary stalk, aplasia or hypoplasia of the anterior pituitary and an absent or ectopic poste- rior pituitary (EPP) seen on magnetic resonance imaging (MRI). PSIS is associated with several midline malfor- mations including facial dysmorphism, septal agenesis, partial corpus callosum agenesis, aqueductal stenosis, optic nerve hypoplasia, craniopharyngeal canal, cleft lip and palate. The anaesthetic management of a patient with hypopituitarism presents several problems like precipitating acute adrenal crisis, decreased resting cardiac output which cannot be increased when stressed, relative hypovolemia on induction, low basal metabolic rate and an inability to increase core temperature. The anaesthetic management of a four-year-old boy diagnosed to have growth hormone deficiency with early childhood caries for pulpectomy and root canal treatment under genral anaesthesia is discussed.
Authors and Affiliations
Chandraleela S, Balamurugan B, Lailu M
Keywords
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