Mallikarjuna Swathi, Karjigi Deepika, Kadian Sakshi, Kumar Ajit
Anesthesiology, All India Institute of Medical Sciences, Rishikesh, IND.
Cureus. 2023 Feb 8;15(2):e34786. doi: 10.7759/cureus.34786. eCollection 2023 Feb.
Neurofibromatosis type I is a genetic autosomal dominant disorder with multisystem involvement and is particularly challenging for the anesthesiologist in emergency surgery. The presence of neurofibromas can cause airway difficulty, make delivery of gases difficult, and blood pressure variations during general anesthesia. Regional anesthesia becomes challenging due to the presence of spinal and intracranial tumors, and in undiagnosed situations, it becomes tricky. This is a case report of anesthesia management in a pregnant patient with undiagnosed neurofibromatosis for an emergency cesarean section.
I型神经纤维瘤病是一种常染色体显性遗传疾病，可累及多个系统，对急诊手术的麻醉医生来说极具挑战性。神经纤维瘤的存在可导致气道困难、气体输送困难以及全身麻醉期间的血压波动。由于存在脊柱和颅内肿瘤，区域麻醉也变得具有挑战性，在未确诊的情况下，情况会变得棘手。本文报告了一例未确诊神经纤维瘤病的孕妇行急诊剖宫产的麻醉管理情况。
