Frederick Mihm, M.D.

Publication Details

  • Catecholamine-Secreting Paragangliomas: Recent Progress in Diagnosis and Perioperative Management SKULL BASE-AN INTERDISCIPLINARY APPROACH Colen, T. Y., Mihm, F. G., Mason, T. P., Roberson, J. B. 2009; 19 (6): 377-385


    Catecholamine-secreting paragangliomas (CSPs) present challenges for the managing team of surgeons and anesthesiologists. Without proper preoperative management and planning, the patient is at high risk for complications and significant morbidity. A review of the literature looking at all aspects of the care of patients with CSP was performed to provide a consensus on the comprehensive care of these difficult patients. A case study is also provided to illustrate the management algorithm. Specific recommendations are made with regards to preoperative workup, including serum and urine testing, tumor localization, angiography, and embolization. Preoperative and intraoperative management techniques by the surgical and anesthesiology teams are discussed, including pharmaceutical interventions and fluid management. Aspects of postoperative care are also discussed. Management of patients with CSP requires significant attention to detail by a multidisciplinary team of surgeons and anesthesiologists. By following the recommendations included within this article, the morbidity associated with removal of these tumors can be significantly reduced or eliminated.

    View details for DOI 10.1055/s-0029-1224771

    View details for Web of Science ID 000271904200001

    View details for PubMedID 20436839

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