Anaesthetic implications in Von Recklinghausen disease: A case report
Keywords:
Neurofibroma, Neurofibromatoses, Anesthesia, Airway management, Cafe-au-Lait Spots
Abstract
Von Recklinghausen disease or neurofibromatosis Type I (NF1) is an autosomal dominant disease with a wide spectrum of clinical manifestations. Neurofibromas are the characteristic lesions. This disorder is associated with important anaesthetic considerations, mainly when neurofibromas occur in the oropharynx and larynx, leading to difficult laryngoscopy and tracheal intubation. We describe the anaesthetic management of a patient with NF1 under general anaesthesia for facial neurofibroma excision. We performed a brief review of the literature with the aim of optimizing the anaesthetic management and reducing the number of complications associated with the systemic manifestations of this syndrome.
References
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2. Lee WY, Shin YS, Lim CS, Chung WS, Kim BM. Spinal anesthesia for emergency cesarean section in a preeclampsia patient diagnosed with type 1 neurofibromatosis. Korean J Anesthesiol. 2013;65 6 Suppl.:S91-2.
3. Von Recklinghausen FD. Ueber die multiplen Fibrome der Haut und ihre Beziehung zu den multiple Neuromen. Berlin: Hirschwald; 1882.
4. Guido Lastra, Roberto Franco, Pedro Nel Rueda P, Lina P, Pradilla S, Óscar Paz C. Neoplasia endocrina múltiple. Rev Fac Med Unal [online]. 2004;52:3.
5. Hirsch NP, Murphy A, Radcliffe JJ. Neurofibromatosis: clinical presentations and anaesthetic implications. Br J Anaesth. 2001;86:555-64.
6. Orozco Ariza JJ, Besson A, Pulido Rozo M, Ruiz Roca JA, Linares Tovar, Sáez Yuguero MaR. Neurofibromatosis tipo 1 (NF1) revisión y presentación de un caso clínico con manifestaciones bucofaciales. Av Odontoestomatol. 2005;21:5.
7. Mulvihill JJ, Parry DM, Sherman JL, Pikus A, Kaiser-Kupfer MI, Eldridge R. NIH conference: neurofibromatosis 1 (Recklinghausen disease) and neurofibromatosis 2 (bilateral acoustic neurofibromatosis). An update Ann Internal Med. 1990;113:39-52.
8. Gutmann DH, Aylsworth A, Carey JC, Korf B, Marks J, Pyeritz RE, et al. The diagnostic evaluation of multidisciplinary management of neurofibromatosis I and neurofibromatosis 2. JAMA. 1997;278:51-7.
9. Kloots RT, Rufini V,Gross MD, Shapiro B. Bone scans in neurofibromatosis: Neurofibroma, plexiform neurofibroma a neurofibrosarcoma. J Nucl Med. 1996;37:1778-83.
10. Weistler OD, Radner H. Pathology of neurofibromatosis I and 2. In: Huson SM, Hughes RAC, editors. The Neurofibromatoses. London: Chapman and Hall; 1994. p. 135-9.
11. Loh KC, Shlossberg EC, Abbot EC, Salisbury SR, Tah MH. Phaeochromocytoma: a ten year survey. Q J Med. 1997;90:51-60.
12. Sakai M, Vallejo MC, Shannon KT. A parturient with neurofibromatosis type 2: anesthetic and obstetric considerations for delivery. Inter J Obst Anesth. 2005;14:332-5.
13. Klein A, Clemens J, Cameron J. Periampullary neoplasms in von Recklinghausen disease. Surgery. 1989;106:815-9.
14. Ugren EB, Kinnear-Wilson LM, Stiller CA. Gliomas in neurofibromatosis: a series of 89 cases with evidence of enhanced malignancy in associated cerebellar astrocytomas. Pathol Annu. 1985;20:331-58.
15. Adams C, Fletcher WA, Myles ST. Chiasmal glioma in neurofibromatosis tipe I with severe visual loss regained with radiation. Pediatr Neurol. 1997;17:80-2.
16. Desai A, Carvalho B, Hansen J, Hill J. Ultrasound-guided popliteal nerve block in a patient with malignant degeneration of neurofibromatosis 1. Case Rep Anesthesiol. 2012 [Epub].
17. Sahin A, Aypar U. Spinal anesthesia in a patient with neurofibromatosis. Anesth Analg. 2003;97:1855-6.
18. Dounas M, Mercier FJ, Lhuissier C, Benhamou D. Epidural analgesia for labour in a parturient with neurofibromatosis. Can J Anaesth. 1995;42:420-4.
19. Triplett WW, Ondrey J, McDonald JS. Case report: anesthetic considerations in von Recklinghausen's disease. Anesth Prog. 1980;27:63.
20. Alcala-Cerra G, Moscote-Salazar L, Lozano-Tagua CF, Sabogal-Barrios R. Neumotórax espontáneo asociado a fibrosis pulmonar en un paciente con neurofibromatosis tipo 2. Rev Fac Med [online]. 2010;58:137-41. ISSN 0120-0011.
21. Richardson MG, Setty GK, Rawoof SA. Responses to non-depolarizing neuromuscular blockers and succinylcholine in von Recklinghausen neurofibromatosis. Anesth Analg. 1996;82:382-5.
2. Lee WY, Shin YS, Lim CS, Chung WS, Kim BM. Spinal anesthesia for emergency cesarean section in a preeclampsia patient diagnosed with type 1 neurofibromatosis. Korean J Anesthesiol. 2013;65 6 Suppl.:S91-2.
3. Von Recklinghausen FD. Ueber die multiplen Fibrome der Haut und ihre Beziehung zu den multiple Neuromen. Berlin: Hirschwald; 1882.
4. Guido Lastra, Roberto Franco, Pedro Nel Rueda P, Lina P, Pradilla S, Óscar Paz C. Neoplasia endocrina múltiple. Rev Fac Med Unal [online]. 2004;52:3.
5. Hirsch NP, Murphy A, Radcliffe JJ. Neurofibromatosis: clinical presentations and anaesthetic implications. Br J Anaesth. 2001;86:555-64.
6. Orozco Ariza JJ, Besson A, Pulido Rozo M, Ruiz Roca JA, Linares Tovar, Sáez Yuguero MaR. Neurofibromatosis tipo 1 (NF1) revisión y presentación de un caso clínico con manifestaciones bucofaciales. Av Odontoestomatol. 2005;21:5.
7. Mulvihill JJ, Parry DM, Sherman JL, Pikus A, Kaiser-Kupfer MI, Eldridge R. NIH conference: neurofibromatosis 1 (Recklinghausen disease) and neurofibromatosis 2 (bilateral acoustic neurofibromatosis). An update Ann Internal Med. 1990;113:39-52.
8. Gutmann DH, Aylsworth A, Carey JC, Korf B, Marks J, Pyeritz RE, et al. The diagnostic evaluation of multidisciplinary management of neurofibromatosis I and neurofibromatosis 2. JAMA. 1997;278:51-7.
9. Kloots RT, Rufini V,Gross MD, Shapiro B. Bone scans in neurofibromatosis: Neurofibroma, plexiform neurofibroma a neurofibrosarcoma. J Nucl Med. 1996;37:1778-83.
10. Weistler OD, Radner H. Pathology of neurofibromatosis I and 2. In: Huson SM, Hughes RAC, editors. The Neurofibromatoses. London: Chapman and Hall; 1994. p. 135-9.
11. Loh KC, Shlossberg EC, Abbot EC, Salisbury SR, Tah MH. Phaeochromocytoma: a ten year survey. Q J Med. 1997;90:51-60.
12. Sakai M, Vallejo MC, Shannon KT. A parturient with neurofibromatosis type 2: anesthetic and obstetric considerations for delivery. Inter J Obst Anesth. 2005;14:332-5.
13. Klein A, Clemens J, Cameron J. Periampullary neoplasms in von Recklinghausen disease. Surgery. 1989;106:815-9.
14. Ugren EB, Kinnear-Wilson LM, Stiller CA. Gliomas in neurofibromatosis: a series of 89 cases with evidence of enhanced malignancy in associated cerebellar astrocytomas. Pathol Annu. 1985;20:331-58.
15. Adams C, Fletcher WA, Myles ST. Chiasmal glioma in neurofibromatosis tipe I with severe visual loss regained with radiation. Pediatr Neurol. 1997;17:80-2.
16. Desai A, Carvalho B, Hansen J, Hill J. Ultrasound-guided popliteal nerve block in a patient with malignant degeneration of neurofibromatosis 1. Case Rep Anesthesiol. 2012 [Epub].
17. Sahin A, Aypar U. Spinal anesthesia in a patient with neurofibromatosis. Anesth Analg. 2003;97:1855-6.
18. Dounas M, Mercier FJ, Lhuissier C, Benhamou D. Epidural analgesia for labour in a parturient with neurofibromatosis. Can J Anaesth. 1995;42:420-4.
19. Triplett WW, Ondrey J, McDonald JS. Case report: anesthetic considerations in von Recklinghausen's disease. Anesth Prog. 1980;27:63.
20. Alcala-Cerra G, Moscote-Salazar L, Lozano-Tagua CF, Sabogal-Barrios R. Neumotórax espontáneo asociado a fibrosis pulmonar en un paciente con neurofibromatosis tipo 2. Rev Fac Med [online]. 2010;58:137-41. ISSN 0120-0011.
21. Richardson MG, Setty GK, Rawoof SA. Responses to non-depolarizing neuromuscular blockers and succinylcholine in von Recklinghausen neurofibromatosis. Anesth Analg. 1996;82:382-5.
How to Cite
1.
Guerrero-Domínguez R, López-Herrera-Rodríguez D, Acosta-Martínez J, Jiménez I. Anaesthetic implications in Von Recklinghausen disease: A case report. Colomb. J. Anesthesiol. [Internet]. 2015 Jan. 1 [cited 2024 Apr. 18];43(1):107-10. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/497
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Published
2015-01-01
How to Cite
1.
Guerrero-Domínguez R, López-Herrera-Rodríguez D, Acosta-Martínez J, Jiménez I. Anaesthetic implications in Von Recklinghausen disease: A case report. Colomb. J. Anesthesiol. [Internet]. 2015 Jan. 1 [cited 2024 Apr. 18];43(1):107-10. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/497
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Case Report / Case Series
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