Burnette Michelle S, Mann Taylor S, Berman David J, Nguyen Truc-Anh T
From the Department of Anesthesiology and Critical Care Medicine, Division of Obstetric, Gynecological and Fetal Anesthesia, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
A A Pract. 2019 Oct 15;13(8):289-291. doi: 10.1213/XAA.0000000000001049.
A young woman first diagnosed with von Hippel-Lindau disease (VHL) during pregnancy underwent an uncomplicated cesarean delivery despite having multiple classic VHL tumors, including a large cerebellopontine brain mass and vasoactive pheochromocytoma. Patients with VHL may have multiple tumors of the central nervous system and viscera that greatly impact anesthetic management. This case highlights the anesthetic considerations for a parturient with pheochromocytoma and elevated intracranial pressure, as well as the importance of a multidisciplinary team approach.
