Öz
Nörofibromatozis, genetik ve multisistemik bir hastalıktır. Nörofibromatozis tip 1 (NF1) ve nörofibromatozis tip 2 (NF2) olmak üzere iki formu bulunur. NF1; yaygın nörofibromlar ve café au lait lekeleri ile karakterizedir. Santral sinir sistemini, hava yollarını, akciğer parankimini ve göğüs kafesini tutabilir. Bu grup hastalarda multisitemik tutulumdan dolayı anestezi uygulaması özellik taşır. Nörofibromlar üst hava yollarını tıkayabilir ve rejyonel anestezi sırasında spinal iğne deliğini kapatabilir. Burada hematürisi olan benign prostat hipertrofili bir erkek hastadaki anestezik yaklaşımımızı sunmak istedik.
ABSTRACT
Neurofibromatosis is a multisystemic and genetically inherited disease. Two types are defined; Neurofibromatosis type 1 (NF 1) and Neurofibromatosis type 2 (NF2). NF 1 is characterized by neurofibromas and café au lait spots. Central nervous system, airways, lung parenchyma and thorax might be affected. Because of the multysistemic influence, anesthetic management requires special care in this group. Neurofibromas may obstruct the upper airways and close the spinal needle puncture during regional anesthesia. Here, we want to present our anesthetic management to a male patient with haematuria due to hypertrophy of prostate gland.
Anahtar Kelimeler
Kaynakça
- Crawford, A.H., Herrera-Soto, J., 2007. Scoliosis associated with neurofibromatosis. Orthop. Clin. North Am. 38, 553-562.
- Crozier, W.C., 1987. Upper airway obstruction in neurofibromatosis. Anaesthesia. 42, 1209-1211.
- Çamsarı, G., Gür, A., Özkan, G., Bakan, N.D., Zengin, F., Külcü, A. 2006. Nörofibromatoziste torasik bulgular. Tüberküloz ve To- raks Derg.. 54, 267-272.
- Dounas, M., Mercier, F.J., Lhuissier, C., Benhamou, D., 1995. Epidural analgesia for labour in a parturient with neurofibromatosis. Can. J. Anaesth. 42, 420-422.
- Esler, M.D., Durbridge, J., Kirby, S., 2001. Epidural haematoma after dural puncture in a parturient with neurofibromatosis. British J. Anaesth. 87, 932-934.
- Hassoun, P.M., Celli, B.R., 2000. Bilateral diaphragm paralysis secondary to central von Recklinghausen’s disease. Chest; April. 117, 1196-1200
- Hirsch, N.P., Murphy, A., Radcliffe, J.J., 2001. Neurofibromatosis: Clinical presentations and anesthetic implications. British J. Anaesth. 86, 555-564.
- Irion, K.L., Gasparetto, T.D., Marchiori, E., Hochhegger, B., Rubin, A.S., 2008. Neurofibromatosis type 1 with tracheobronchial neurofibromas: case report with emphasis on tomographic findings. J. Thorac. Imaging. 23, 194-196.
- Katar, S., Ecer, S., Kervancıoğlu, M., Yaramış, A., Özbek, M.N., Devecioğlu, C., 2004. Nörofibromatozisli dört olgunun değerlen- dirilmesi. Dicle Tıp Derg. 31, 42-47.
- Kaymak, Y., Yüksel, N., Karabulut, A., Ekşioğlu, M., 2004. Nörofibromatozis: Olgu Sunumu. Türkiye Klinikleri J. Med. Sci. 24, 702-706.
- Richardson, M.G., Setty, G.K., Rawoof, S.A., 1996. Responses to nondepolarizing neuromuscular blockers and succinylcholine in VonRecklinghausen neurofibromatosis. Anesth. Analg. 82, 382-385.
- Sakai, T., Vallejo, M.C., Shannon, K.T., 2005. A parturient with neurofibromatosis type 2: anesthetic and obstetric considerations for delivery. Int. J. Obstet. Anest. 14, 332-335.
- Şahin, A., Aypar, Ü., 2003. Spinal anesthesia in a patient with neurofibromatosis. Anesth. Analg. 97, 1855-1856.
Öz
Kaynakça
- Crawford, A.H., Herrera-Soto, J., 2007. Scoliosis associated with neurofibromatosis. Orthop. Clin. North Am. 38, 553-562.
- Crozier, W.C., 1987. Upper airway obstruction in neurofibromatosis. Anaesthesia. 42, 1209-1211.
- Çamsarı, G., Gür, A., Özkan, G., Bakan, N.D., Zengin, F., Külcü, A. 2006. Nörofibromatoziste torasik bulgular. Tüberküloz ve To- raks Derg.. 54, 267-272.
- Dounas, M., Mercier, F.J., Lhuissier, C., Benhamou, D., 1995. Epidural analgesia for labour in a parturient with neurofibromatosis. Can. J. Anaesth. 42, 420-422.
- Esler, M.D., Durbridge, J., Kirby, S., 2001. Epidural haematoma after dural puncture in a parturient with neurofibromatosis. British J. Anaesth. 87, 932-934.
- Hassoun, P.M., Celli, B.R., 2000. Bilateral diaphragm paralysis secondary to central von Recklinghausen’s disease. Chest; April. 117, 1196-1200
- Hirsch, N.P., Murphy, A., Radcliffe, J.J., 2001. Neurofibromatosis: Clinical presentations and anesthetic implications. British J. Anaesth. 86, 555-564.
- Irion, K.L., Gasparetto, T.D., Marchiori, E., Hochhegger, B., Rubin, A.S., 2008. Neurofibromatosis type 1 with tracheobronchial neurofibromas: case report with emphasis on tomographic findings. J. Thorac. Imaging. 23, 194-196.
- Katar, S., Ecer, S., Kervancıoğlu, M., Yaramış, A., Özbek, M.N., Devecioğlu, C., 2004. Nörofibromatozisli dört olgunun değerlen- dirilmesi. Dicle Tıp Derg. 31, 42-47.
- Kaymak, Y., Yüksel, N., Karabulut, A., Ekşioğlu, M., 2004. Nörofibromatozis: Olgu Sunumu. Türkiye Klinikleri J. Med. Sci. 24, 702-706.
- Richardson, M.G., Setty, G.K., Rawoof, S.A., 1996. Responses to nondepolarizing neuromuscular blockers and succinylcholine in VonRecklinghausen neurofibromatosis. Anesth. Analg. 82, 382-385.
- Sakai, T., Vallejo, M.C., Shannon, K.T., 2005. A parturient with neurofibromatosis type 2: anesthetic and obstetric considerations for delivery. Int. J. Obstet. Anest. 14, 332-335.
- Şahin, A., Aypar, Ü., 2003. Spinal anesthesia in a patient with neurofibromatosis. Anesth. Analg. 97, 1855-1856.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Surgery Medical Sciences |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Aralık 2010 |
| Gönderilme Tarihi | 10 Ocak 2011 |
| Yayımlandığı Sayı | Yıl 2009 Cilt: 26 Sayı: 4 |
Kaynak Göster
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