Anaesthetic considerations in a patient with von recklinghausen neurofibromatosis

Bagam, Kishan Rao; Vijaya, D; Mohan, K; Swapna, T; Maneendra, S; Murthy, S. G. K.

doi:10.4103/0970-9185.74613

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…Salviz used an ultrasound-guided supraclavicular nerve block for excision of neurofibroma, while Bagam and his team used a brachial plexus block in a 60-year-old NF1 patients who needed an intramedullary interlocking nail for her humerus. 14,15 Given this patient's neurofibromatosis throughout her trunk and upper extremities, and the demonstrated success and safety of peripheral nerve blocks in previous reports, a decision to proceed with an upper extremity nerve block was made. A systematic sonographic survey of all suitable block sites in this patient was initially performed prior to obtain valuable information on the morphology of the nerves, vessels, and presence of any peripheral neurofibroma previously described in literature as hypoechoic structures with posterior acoustic enhancement.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided and Peripheral Nerve Stimulator-guided Interscalene Brachial Plexus Block in a Patient with Neurofibromatosis during the COVID-19 Pandemic

Bella

2022

Acta Med Philipp

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An 18-year-old female with neurofibromatosis presented for enucleation biopsy of a slow-growing soft tissue masson her right anteromedial arm during the COVID-19 pandemic. Ultrasonography was used in the mapping of thebrachial plexus and the identification of possible neurofibroma along peripheral nerves. An interscalene brachialplexus nerve block was successfully and safely achieved with ultrasonographic and peripheral nerve stimulatorguidance. Ultrasound-guided and nerve stimulator-guided peripheral nerve blocks are safe and viable anestheticmanagement options for patients with neurofibromatosis, especially in this time of the COVID-19 global pandemic.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-guided and Peripheral Nerve Stimulator-guided Interscalene Brachial Plexus Block in a Patient with Neurofibromatosis during the COVID-19 Pandemic

Bella

2022

Acta Med Philipp

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Anesthetic Considerations in a Patient With Plexiform Neurofibromatosis: A Case Report

Soltanpoor

Behnaz

Farokhi

et al. 2018

Int Clin Neurosci J

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Plexiform neurofibromatosis is an uncommon variant of neurofibromatosis type 1 (NF1) (Von Recklinghausen’s disease). There is a greater prevalence of neurofibromatosis 1 in patients with other neoplasms, such as rhabdomyosarcomas, gastrointestinal stromal tumors (GISTs), pheochromocytomas, carcinoid tumors and ganglioneuromas. We report the anesthetic implications of a case of a 33 year old patient with plexiform neurofibromatosis and a history of pheochromocytoma which was operated on previously. He presented with painless swelling on upper eye-lead since childhood and had multiple caféau-lait spots and neurofibromas on the trunk. The surgery was done in two sessions first on the plexiform neurofibroma of the eye followed by the operation on the brain mass.

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Subarachnoid block a safe choice for cesarean section in neurofibromatosis patient with severe kyphoscoliosis

2018

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Neurofibromatosis type 1 (NF1) is an autosomal-dominant neuroectodermal hereditary disorder, in which spinal skeletal deformities are one of the manifestations. Pectus carinatum, temporomandibular joint dysfunction, and kyphoscoliosis can be seen with this genetic disorder which can lead to cardiorespiratory system problems and can cause difficulty in airway management. We present the anesthetic management of a NF1 patient with a sharp thoracolumbar dystrophic kyphoscoliosis who have been posted for emergency cesarean section as a result of fetal distress. The operation was successfully performed with subarachnoid block. This case highlights the anesthetic challenges and the significance of early planning anesthetic technique.

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Anaesthetic considerations in a patient with von recklinghausen neurofibromatosis

Cited by 3 publications

References 8 publications

Ultrasound-guided and Peripheral Nerve Stimulator-guided Interscalene Brachial Plexus Block in a Patient with Neurofibromatosis during the COVID-19 Pandemic

Ultrasound-guided and Peripheral Nerve Stimulator-guided Interscalene Brachial Plexus Block in a Patient with Neurofibromatosis during the COVID-19 Pandemic

Anesthetic Considerations in a Patient With Plexiform Neurofibromatosis: A Case Report

Subarachnoid block a safe choice for cesarean section in neurofibromatosis patient with severe kyphoscoliosis

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