Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942005000600008
Brazilian Journal of Anesthesiology
Clinical Information

Raquianestesia para cirurgia ortopédica de urgência em paciente portadora de doença de Von Recklinghausen: relato de caso

Spinal block for urgency orthopedic surgery in Von Recklinghausen's disease patient: case report

Fabiano Timbó Barbosa; Alexandre Vieira Figueiredo; Rafael Martins da Cunha; Marcos Antônio Costa de Albuquerque

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Resumo

JUSTIFICATIVA E OBJETIVOS: A doença de Von Recklinghausen é uma doença neurogenética causada por uma anomalia no cromossomo 17. O objetivo deste relato foi descrever a conduta anestésica em paciente com doença de Von Recklinghausen submetida à cirurgia ortopédica de urgência. RELATO DO CASO: Paciente do sexo feminino, 28 anos, portadora da doença de Von Recklinghausen, submetida à cirurgia ortopédica em hospital de emergência sob raquianestesia. Não apresentou complicações no período intra-operatório, nem na sala de recuperação pós-anestésica. Teve alta hospitalar no 4º dia de pós-operatório. CONCLUSÕES: No caso relatado foi possível a realização da raquianestesia sem haver necessidade de manuseio da via aérea.

Palavras-chave

DOENÇAS, TÉCNICAS ANESTÉSICAS, Regional

Abstract

BACKGROUND AND OBJECTIVES: Von Recklinghausen's disease is a neurogenetic disease due to chromosome 17 abnormality. This report aimed at describing the anesthetic approach for Von Recklinghausen's disease patient submitted to urgency orthopedic surgery. CASE REPORT: Female patient, 28 years old, with Von Recklinghausen's disease, submitted to emergency orthopedic surgery under spinal block. There have been no complications both in the intraoperative period and in the post-anesthetic care unit. Patient was discharged 4 days later. CONCLUSIONS: Spinal block was possible in this case with no need for airway handling.

Keywords

ANESTHETIC TECHNIQUES, Regional, DISEASES

References

Richardson MG, Setty GK, Rawoof SA. Responses to nondepolarizing blockers and succinylcholine in von Recklinghausen neurofibromatosis. Anesth Analg. 1996;82:382-385.

Sazar MS, Israel MA. Tumores Primários e Metastáticos do Sistema Nervoso. Medicina Interna. 2002:2594-2603.

Krishna G. Case history number 85: Neurofibromatosis, renal hipertensión, and cardiac dysrhythmias. Anesth Analg. 1975:542-545.

Dounas M, Mercier FJ, Lhuissier C. Epidural analgesia for labour in a parturient with neurofibromatosis. Can J Anaesth. 1995;42:420-424.

Stoelting SF, Dierdorf SF. Diseases of the Nervous System. Anestesia and Co-Existing Disease. 2002:233-298.

Naguib M, Al-Rajeh SM, Abdulatif M. The response of a patient with von Recklinghausen's disease to succinylcholine and atracurium. Middle East J Anesthesiol. 1988;9:429-434.

Rodríguez YC, Garcia MZ, Madrid MT. Anestesia en la enfermedad de von Recklinghausen. Rev Esp Anest y Reanim. 1991;38:94.

Arun D, Gutmann DH. Recent advances in neurofibromatosis type 1. Curr Opin Neurol. 2004;17:101-105.

Delgado JM, de la Matta Martin MM. Anaesthetic implications of von Recklinghausen's neurofibromatosis. Paediatr Anaesth. 2002;12:374-379.

Baun VC, O'Flaherty JE. Anestesia for Syndromes of Childhood. Anestesia for Genetic, Metabolic, and Dysmorphic Syndromes of Childhood. 1999:218-219.

Martz DG Jr, Schreibman DL, Matjasko MJ. Neurologic Diseases. Anesthesia & Uncommon Diseases. 1998:3-37.

Partridge BL. Skin and Bone Disorders. Anesthesia & Uncommon Diseases. 1998:423-458.

Smith MF. Skin and Connective Tissue Diseases. Anesthesia and Uncommon Pediatric Diseases. 1987:378-428.

Conception M. Anestesia para Cirurgia Ortopédica. Princípios e Prática de Anestesiologia. 1996:1618-1638.

Mcleod ME, Creighton RE. Central Nervous System Disease. Anesthesia and Uncommon Pediatric Diseases. 1987:49-64.

Spergel G. Feocromocitoma. Manual Merck de Medicina. 1992:1085-1088.

Fisher MM. Anaesthetic difficulties in neurofibromatosis. Anaesthesia. 1975;30:648-650.

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