Dergiler / Turkish Journal of Medical Sciences / 2008 / Cilt: 38 - Sayı: 5

The Anesthetic Approach in a Patient with Type I Neurofibromatosis with Multiple Deformities

Sayfa
477–480
Yayın Tarihi
2022-11-06
DOI
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Yapay Zeka Hızlı Bakış & Çıkarımlar

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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The anesthetic management of this patient was satisfactory and uneventful, and there were no complications.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:von Recklinghausen disease is a type I neurofibromatosis originating from the nervous system.
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Temel Bulgular & Veri:We report the anesthetic management of a 31-year-old female patient with multiple thorax deformities who was diagnosed as von Recklinghausen disease.
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Sonuç & Katkı:The anesthetic management of this patient was satisfactory and uneventful, and there were no complications.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Anesthesia · neurofibromatosis · peripheral block

Özet

von Recklinghausen disease is a type I neurofibromatosis originating from the nervous system. In this syndrome, there is abnormal deposition of neural tissue in the nervous system, endocrine system, visceral structures, and skin. We report the anesthetic management of a 31-year-old female patient with multiple thorax deformities who was diagnosed as von Recklinghausen disease. The patient was admitted to the Plastic and Reconstructive Surgery Department because of a huge subcutaneous neurofibroma on her right upper extremity. General anesthesia was considered a high risk for this patient on the basis of her laboratory results and physical findings. We planned brachial plexus block with axillary approach under sedation. The subcutaneous neurofibroma was not in contact with the nerve sheath; thus, regional anesthesia was our preference for this particular patient. The anesthetic management of this patient was satisfactory and uneventful, and there were no complications.

Abstract

von Recklinghausen disease is a type I neurofibromatosis originating from the nervous system. In this syndrome, there is abnormal deposition of neural tissue in the nervous system, endocrine system, visceral structures, and skin. We report the anesthetic management of a 31-year-old female patient with multiple thorax deformities who was diagnosed as von Recklinghausen disease. The patient was admitted to the Plastic and Reconstructive Surgery Department because of a huge subcutaneous neurofibroma on her right upper extremity. General anesthesia was considered a high risk for this patient on the basis of her laboratory results and physical findings. We planned brachial plexus block with axillary approach under sedation. The subcutaneous neurofibroma was not in contact with the nerve sheath; thus, regional anesthesia was our preference for this particular patient. The anesthetic management of this patient was satisfactory and uneventful, and there were no complications.

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Bu Makaleye Atıf Yap

İNAN, N., BAŞAR, H., TÜRKOĞLU, M., GÜLEÇ, H., TEZER, E., BALTACI, B. (2022). The Anesthetic Approach in a Patient with Type I Neurofibromatosis with Multiple Deformities. Turkish Journal of Medical Sciences, Cilt: 38 - Sayı: 5, 477–480. https://ajindex.com/articles/611819

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Kaynakça (3)

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  2. Dounas M, Mercier FJ, Lhuissier C, Benhamou D. Epidural analgesia for labour in a parturient with neurofibromatosis. Can J Anaesth 1995 May; 42: 420-2. Tetzlaff JE. Skin and bone disorders. In: Fleisher LA, editor. Anaesthesia and Uncommon Diseases. Philadelphia: Elsevier Inc; 2006. pp. 327-49. 4. Wishart JH. Case of tumours in the skull, dura mater, and brain. Edinburgh Med Surg J 1982; 18: 393-7. Fisher MM. Anesthetic difficulties in neurofibromatosis. Anaesthesia 1975; 30: 648-50.
  3. Hansen JE, Chaffoo R. Pediatric tumors. In: Mathes SJ, editor. Plastic Surgery (Vol. 5). Philadelphia: Saunders Elsevier Inc; 2006. pp. 8-9. Soft tissue. In: Rosai J, editor. Ackerman and Rosai Surgical Pathology. Edinburgh: Mosby Inc; 2004. pp. 2048-51. 8. Woodruff JM. Pathology of tumors of the peripheral nerve sheath in type 1 neurofibromatosis. Am J Med Genet 1999 Mar 26; 89(1): 23-30.