It's More Than Just Too Much Growth Hormone
A 37 year old female with PMH of hypothyroidism presented for endonasal resection of middle fossa tumor. She noticed increasing hand and foot size, frontal brow size, facial hair growth, changes to her menstrual cycle and vision, and polyarticular joint pain over the past few months. After extensive evaluation by endocrinology, ENT, and neurosurgery she was found to have a pituitary tumor with elevated growth hormone, prolactin, and testosterone levels. After successful resection of the pituitary tumor, pathology confirmed macroadenoma with positive stains for prolactin and growth hormone. Today we will discuss anesthesia considerations for patients with acromegaly.
Niederhauser A, Donatelli D, Stafford P. It's more than just too much growth hormone. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 14; San Francisco, CA.