Anesthetic and hemodynamic management in patients with different approaches for multiple neurological pathologies. case report

Abstract

A 54-year-old female presented with complaints of progressive visual loss and severe headaches for the past two months. The patient had a history of high blood pressure and was on medication for the same. On physical examination, she had a loss of peripheral vision and a visual acuity of 20/200 in her left eye. An urgent MRI scan was performed which revealed a 2 cm x 1.5 cm sellar mass with suprasellar extension and a concomitant incidental aneurysm in the left internal carotid artery ophthalmic segment. Further evaluation with hormonal profile revealed elevated levels of insulin-like growth factor 1 (IGF-1), which was suggestive of growth hormone-producing pituitary adenoma. A cerebral angiogram confirmed the presence of the incidental aneurysm in the left internal carotid artery ophthalmic segment.