TITLE:
Anaesthetic Management and Challenges for Carotid Body Tumour Excision in a Young Nigerian: A Case Report and Review of Literature
AUTHORS:
Florence A. O. Oguntade, Moses Ayodele Akinola, Oluwapelumi O. Olusoga-Peters, Bukola Adesola Olayinka, Rachael Adetola Adeoti
KEYWORDS:
Anaesthesia, Carotid Body Tumour, Excision, Complications
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.12 No.5,
May
30,
2023
ABSTRACT: Background: Carotid body tumours (CBTs) are rare tumours that arise from chemoreceptor cells at the bifurcation of carotid artery. Excision of CBT poses several anesthetic challenges and may be complicated with marked intraoperative hemodynamic instability and turbulent postoperative recovery. Attention to details and a meticulous anesthetic plan are essential for successful anesthetic management. Aim: To present anaesthetic management and challenges for carotid body tumour excision in a young Nigerian. Case Presentation: A 26-year-old man presented with left sided slow growing neck tumour. The tumour was completely excised with no anaesthetic or surgical complication. Histology and immunohistochemistry of the excised tumour confirmed paraganglioma. He was discharged fifteenth post-operative day. Conclusion: General anesthesia is the preferred technique. The basic elements of anesthetic management are protection of hemodynamic stability and maintenance of cerebral perfusion pressure (CPP).