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Preoperative corticosteroids have dual benefits of providing hormonal replacement in the mother and also promoting fetal lung maturity in the offspring. Uterine contractions should be monitored and tocolysis provided as per requirements in a post-viable fetus.<\/jats:p>","DOI":"10.1136\/bcr-2022-254299","type":"journal-article","created":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T10:05:39Z","timestamp":1685354739000},"page":"e254299","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Overcoming anaesthetic challenges in a pregnant woman with pituitary apoplexy undergoing endoscopic trans-sphenoidal resection of the pituitary tumour"],"prefix":"10.1136","volume":"16","author":[{"given":"Priya","family":"Thappa","sequence":"first","affiliation":[{"name":"Anaesthesia and Intensive Care, PGIMER, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8023-1524","authenticated-orcid":false,"given":"Charu","family":"Sharma","sequence":"additional","affiliation":[{"name":"Anaesthesia and Intensive Care, PGIMER, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1148-8633","authenticated-orcid":false,"given":"Ashwini","family":"Reddy","sequence":"additional","affiliation":[{"name":"Anaesthesia and Intensive Care, PGIMER, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7953-9927","authenticated-orcid":false,"given":"Amiya Kumar","family":"Barik","sequence":"additional","affiliation":[{"name":"Anaesthesia and Intensive Care, PGIMER, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,5,29]]},"reference":[{"key":"2025082711404116000_16.5.e254299.1","doi-asserted-by":"publisher","DOI":"10.1177\/1753495X15598917"},{"key":"2025082711404116000_16.5.e254299.2","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700040119"},{"key":"2025082711404116000_16.5.e254299.3","first-page":"64","article-title":"Pituitary dimensions and volume measurements in pregnancy and post-Partum: MR assessment","volume":"39","author":"Dinc","year":"1998","journal-title":"SRAD"},{"key":"2025082711404116000_16.5.e254299.4","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s11102-019-01004-3","article-title":"Surgical indications for pituitary tumors during pregnancy: a literature review","volume":"23","author":"Graillon","year":"2020","journal-title":"Pituitary"},{"key":"2025082711404116000_16.5.e254299.5","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-14-0848"},{"key":"2025082711404116000_16.5.e254299.6","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318180a505"},{"key":"2025082711404116000_16.5.e254299.7","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002355"},{"key":"2025082711404116000_16.5.e254299.8","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1164\/ajrccm.163.5.16353","article-title":"Implications for the pregnant patient","volume":"163","author":"Campbell","year":"2001","journal-title":"Am J Respir Crit Care Med"},{"key":"2025082711404116000_16.5.e254299.9","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1007\/s12630-013-0031-7","article-title":"Perioperative considerations for neurosurgical procedures in the gravid patient: continuing professional development","volume":"60","author":"Chowdhury","year":"2013","journal-title":"Can J Anaesth"},{"key":"2025082711404116000_16.5.e254299.10","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000012360","article-title":"Neurosurgical anesthesia for a pregnant woman with Macroprolactinoma: a case report","volume":"97","author":"Xia","year":"2018","journal-title":"Medicine (Baltimore)"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-254299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:40:49Z","timestamp":1756320049000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-254299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":10,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,5,29]]},"published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1136\/bcr-2022-254299"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-254299","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,5]]}}}