Advertisement

Cushing Syndrome

  • Catherine Traill
  • Stephen H. HalpernEmail author
Chapter

Abstract

Cushing syndrome is the term used to describe a clinical state of increased free circulating glucocorticoid. Strategies for medical management that is safe for both mother and fetus will be presented. The anesthetic management of labor and delivery as well as operative deliveries will be discussed.

Keywords

Cushing syndrome Glucocorticoids Anesthesia Obstetrical Electrolyte imbalance 

References

  1. 1.
    Kamoun M, Mnif MF, Charfi M, Kacem FH, Naceur BB, Mnif F, Dammak M, Rekik N, Abid M. Adrenal diseases during pregnancy: pathophysiology, diagnosis and management strategies. Am J Med Sci. 2014;347(1):64–73.CrossRefGoogle Scholar
  2. 2.
    Yawar A, Zuberi LM, Haque N. Cushing’s disease and pregnancy: case report and literature review. Endocr Pract. 2007;13(3):296–9.CrossRefGoogle Scholar
  3. 3.
    Aron DC, Schnall AM, Sheeler LR. Cushing’s syndrome and pregnancy. Am J Obstet Gynecol. 1990;162(1):244–52.CrossRefGoogle Scholar
  4. 4.
    Buescher MA, McClamrock HD, Adashi EY. Cushing syndrome in pregnancy. Obstet Gynecol. 1992;79(1):130–7.PubMedGoogle Scholar
  5. 5.
    Sheeler LR. Cushing’s syndrome and pregnancy. Endocrinol Metab Clin N Am. 1994;23(3):619–27.CrossRefGoogle Scholar
  6. 6.
    Fayol L, Masson P, Millet V, Simeoni U. Cushing’s syndrome in pregnancy and neonatal hypertrophic obstructive cardiomyopathy. Acta Paediatr. 2004;93(10):1400.CrossRefGoogle Scholar
  7. 7.
    Cohen O, Bogat S, Dolitzki M, Karasik A. Successful pregnancy after unilateral adrenalectomy in case of primary pigmented adrenocortical disease. J Matern Fetal Neonatal Med. 2005;17(2):161–3.CrossRefGoogle Scholar
  8. 8.
    Lindsay JR, Nieman LK. Adrenal disorders in pregnancy. Endocrinol Metab Clin N Am. 2006;35(1):1–20.CrossRefGoogle Scholar
  9. 9.
    Terhune KP, Jagasia S, Blevins LS, Phay JE. Diagnostic and therapeutic dilemmas of hypercortisolemia during pregnancy: a case report. Am Surg. 2009;75(3):232–4.PubMedGoogle Scholar
  10. 10.
    Toutounchi S, Makawska A, Krajewska E, Fiszer P, Ciesla W, Pogorzelski R, Brtnik A, Wielgos M, Bar-Andziak E, Skorski M. Laparoscopic treatment of Cushing’s syndrome in a woman in late pregnancy—a case presentation. Videosurgery Miniinv. 2011;6:261–3.CrossRefGoogle Scholar
  11. 11.
    Kosaka K, Onoda N, Ishikawa T, Iwanaga N, Yamamasu S, Tahara H, Inaba M, Ishimura E, Ogawa Y, Hirakawa K. Laparoscopic adrenalectomy on patient with primary aldosteronism during pregnancy. Endocr J. 2006;53(4):461–6.CrossRefGoogle Scholar
  12. 12.
    Abbassy M, Kshettry VR, Hamrahian AH, Johnston PC, Dobri GA, Avitsian R, Woodard TD, Recinos PF. Surgical management of recurrent Cushing’s disease in pregnancy: a case report. Surg Neurol Int. 2015;6(Suppl 25):S640–5.PubMedPubMedCentralGoogle Scholar
  13. 13.
    Mellor A, Harvey RD, Pobereskin LH, Sneyd JR. Cushing’s disease treated by transsphenoidal selective adrenalectomy in mid-pregnancy. Br J Anaesth. 1998;80:850–2.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of AnesthesiaSunnybrook Health Sciences Centre, University of TorontoTorontoCanada

Personalised recommendations