Download PDF
CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2021; 08(02): 142-143
DOI: 10.1055/s-0040-1712853
Case Report

Unsuspected Paraganglioma—Infratemporal Fossa

Nikhat Sultana J
1   Department of Neuroanaesthesia and Critical Care, Apollo Hospital, Hyderabad, Telangana, India
,
Shekhar R. Gurrala
1   Department of Neuroanaesthesia and Critical Care, Apollo Hospital, Hyderabad, Telangana, India
,
Lakshman K. Kommula
1   Department of Neuroanaesthesia and Critical Care, Apollo Hospital, Hyderabad, Telangana, India
,
Gnana R. Boola
2   Department of Neurosurgery, Apollo Health City, Hyderabad, Telangana, India
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

Paraganglioma of the infratemporal fossa is exceedingly rare, with no more than a handful of documented cases. Undiagnosed paraganglioma poses a great challenge. We present a 39-year-old hypertensive female, who presented with giddiness and headache for 3 months and four episodes of syncope over 3 months. CT and MRI revealed an enhancing infratemporal region space-occupying mass close proximity to petrous carotid artery. Intraoperatively, the patient had hemodynamic instability (tachycardia and hypertension) when the mass was surgically manipulated. Diagnosis of paraganglioma was suspected, based on hemodynamic instability, which was later confirmed by histopathology. Undiagnosed paraganglioma pose a great challenge to the anesthetic management. Low-threshold of suspicion has to be there to avoid significant morbidity and mortality.

Keywords

paraganglionoma - infratemporal fossa - undiagnosed catecholamine secreting tumor


Publication History

Article published online:
14 June 2020

© 2020. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • Reference

  • 1 Tritter AG, Selber J, Kupferman ME. Surgical management of a functional paraganglioma of the infratemporal fossa. J Neurol Surg Rep 2015; 76 (01) e1-e7
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Renard J, Clerici T, Licker M, Triponez F. Pheochromocytoma and abdominal paraganglioma. J Visc Surg 2011; 148 (06) e409-e416
    CrossrefPubMedGoogle Scholar
  • 3 Naggara O, Varlet P, Page P, Oppenheim C, Meder JF. Suprasellar paraganglioma: a case report and review of the literature. Neuroradiology 2005; 47 (10) 753-757
    CrossrefPubMedGoogle Scholar
  • 4 Düzlü M, Tutar H, Karamert R. et al. Temporal bone paragangliomas: 15 years experience. Rev Bras Otorrinolaringol (Engl Ed) 2018; 84 (01) 58-65
    PubMedGoogle Scholar