Intraoperative hypertensive crisis due to a catecholamine-secreting esthesioneuroblastoma

因分泌儿茶酚胺的神经母细胞瘤导致的术中高血压危象

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作者:Vafi Salmasi, Adam Schiavi, Zev A Binder, Jacob Ruzevick, Brent A Orr, Peter C Burger, Douglas W Ball, Ari M Blitz, Wayne M Koch, Masaru Ishii, Gary L Gallia

Background

Although uncommon, esthesioneuroblastomas may produce clinically significant amounts of catecholamines.

Conclusion

Catecholamine production should be considered in the differential of unexpected extreme hypertension during surgical resection of esthesioneuroblastoma.

Methods

We report a patient with a catecholamine-secreting esthesioneuroblastoma who developed an intraoperative hypertensive crisis.

Results

A patient with a history of hypertension was referred to our skull base center for management of a residual esthesioneuroblastoma. A staged endonasal endoscopic approach was planned. At the

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