General anesthesia for emergency cesarean section in a parturient with neurofibromatosis type 2: A case report

Kim, Il Jae; Park, Sang Lee

Case Report

Obstetric Anesthesia

Anesthesia and Pain Medicine 2010;5(1):79-81.
Published online January 30, 2010.

General anesthesia for emergency cesarean section in a parturient with neurofibromatosis type 2: A case report

Il Jae Kim, Sang Lee Park

Department of Anesthesiology and Pain Medicine, National Police Hospital, Seoul, Korea. slpak@freechal.com

Abstract

Neurofibromatosis type 2 (NF2) is a rare form of neurofibromatosis. Because the central nervous system involvement is predominant feature of NF2, the presence of intracranial and intraspinal neurofibroma make regional anesthesia difficult in patients with NF2.When diagnostic imaging study was not performed in NF2 parturient with CNS tumor involvement, general anesthesia is a better choice for delivery and not associated with the aggravation of neurofibromatosis.We report a case of parturient with NF2 whose emergency cesarean section was successfully managed with general anesthesia.Her neurological status was not worsened and her baby had no problem.

Key Words: Cesarean section, General anesthesia, Neurofibromatosis