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Anesth Analg 2005;101:1812-1815
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000184195.28728.CD

NEUROSURGICAL ANESTHESIA

Airway Problems Caused by Hypogonadism in Male Patients Undergoing Neurosurgery

Sethuraman Manikandan, Praveen Kumar Neema, and Ramesh Chandra Rathod

Department of Anesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India

Address correspondence and reprint requests to Dr. S. Manikandan, B-14, New Faculty Quarters, SCTIMST, Poonthi Rd., Kumarapuram, Trivandrum-695011, Kerala, India. Address e-mail to kanmanisethu{at}yahoo.com.

Unanticipated difficult endotracheal intubations can pose challenges for the anesthesiologist. Risks include airway injury, hypoxemia, and death. There is intubation difficulty in various conditions including Downs syndrome, achondroplasia, acromegaly, and dwarfism. We describe difficulty in intubating the trachea with an appropriate sized endotracheal tube in two young male patients with hypogonadism presenting for neurosurgical procedures under general anesthesia. We discuss the role of hypogonadism and the effects of gonadotropin hormones on pubertal laryngeal growth in male patients.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.