Pituitary Apoplexy Occurring during Large Volume Liposuction Surgery

Amir Cohen, Kamal Kishore, Leo Wolansky, Larry Frohman

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


A 50-year-old woman developed headache and right-sided ophthalmoplegia upon awakening from general anesthesia after liposuction surgery on her abdomen, hips, and thighs. Neuroimaging showed hemorrhage within a previously undiagnosed pituitary adenoma. The confirmatory surgical specimen contained areas of gross infarction and hemorrhage. The anesthesia record revealed intraoperative reduction of systolic blood pressure to 90 mm Hg for 30 minutes from a baseline of 120 mm Hg. This first reported case of pituitary apoplexy during liposuction surgery probably resulted from intraoperative hypotension attributed to a combination of general anesthesia, the use of subcutaneous lidocaine, sequestration of plasma in injured tissues, and blood loss.

Original languageEnglish (US)
Pages (from-to)31-33
Number of pages3
JournalJournal of Neuro-Ophthalmology
Issue number1
StatePublished - Mar 1 2004

All Science Journal Classification (ASJC) codes

  • Ophthalmology
  • Clinical Neurology

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