ANAESTHETIC MANAGEMENT IN A CASE OF GIANT NEUROFIBROMA

Dr. Shakuntala Goswami; Dr. Bhaarat Maheshwari; Dr. Tazeen Khan; Dr. Neha Ahuja

Volume : VII, Issue : XI, November - 2018

ANAESTHETIC MANAGEMENT IN A CASE OF GIANT NEUROFIBROMA

Dr. Shakuntala Goswami, Dr. Bhaarat Maheshwari, Dr. Tazeen Khan, Dr. Neha Ahuja

Abstract :

Neurofiomatosis is the most common neurocutaneous syndrome characterized by tumours of ectodermal and

mesodermal tissues.

Neurofiomatosis type 1 (NF–1) is the most common type, with an incidence of 1 in 3000–4000 individuals.

Neurofiomas are characteristic lesions of the condition which occur mostly in the neuraxis, but maybe found anywhere. Neurofiomatosis can affect any system.

We are discussing a case of 23–year–old male who presented with a giant swelling over the back (plexiform neurofioma) causing difficulty in walking and was scheduled for resection.

The anaesthetic management aimed at proper pre–operative evaluation to rule out other associated lesions or co–morbidities and airway assessment, proper positioning of the patient during intubation, strict intra–op input output monitoring, neuromuscular monitoring and pain management.