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Management of a glomus jugulare tumour with internal carotid artery involvement
Author(s) -
BRAUDE B. M.,
HOCKMAN R.,
McINTOSH W. A.,
HAGEN D.
Publication year - 1986
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1986.tb13134.x
Subject(s) - medicine , internal carotid artery , barbiturate , carotid arteries , anesthesia , hypothermia , surgery
Summary A previously healthy 40–year‐old female presentedfor surgical resection of a large glomus jugulare tumour with extensive involvement of the carotid siphon and intracranial extension. Conduct of anaesthesia with specijic reference to cerebral protection is discussed. A combination of induced hypothermia, barbiturate therapy, normotension, normocarbia and prior clamping of the distal internal carotid artery was chosen. The role of barbiturates as a therapeutic intervention is debated.