Type-II Neurofibromatosis with Cervical Schwannoma Posted for Emergency Lower Segment Cesarean Section under Sole Epidural Technique

A Srinithi; K Rajarajeswaran

doi:10.5005/JP-JOURNALS-10082-03139

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Type-II Neurofibromatosis with Cervical Schwannoma Posted for Emergency Lower Segment Cesarean Section under Sole Epidural Technique

A Srinithi, K Rajarajeswaran

Keywords : Autonomic hyperreflexia, Cervical schwannoma, Epidural anesthesia, Type-II neurofibromatosis

Citation Information : Srinithi A, Rajarajeswaran K. Type-II Neurofibromatosis with Cervical Schwannoma Posted for Emergency Lower Segment Cesarean Section under Sole Epidural Technique. 2022; 5 (1):15-16.

DOI: 10.5005/JP-JOURNALS-10082-03139

License: CC BY-NC 4.0

Published Online: 04-06-2022

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Abstract

The prevalence of neurofibromatosis type-II is rare (1 in 33,000 people) worldwide with uniform gender distribution. Patients commonly present with vestibular schwannomas or any of the two among meningiomas, schwannomas, gliomas, cutaneous neurofibromas, posterior subcapsular lenticular cataracts, or cortical wedge cataracts. Pregnancy tends to promote the growth of such preexisting tumors and may reveal an untrodden tumor. This report describes a parturient who had neurofibromatosis type-II presented with cervical schwannoma posted for an emergency lower segment cesarean section (LSCS). General anesthesia is the preferred choice but owing to the restricted neck movements and high risk of autonomic dysreflexia in presence of cervical schwannoma, sole epidural anesthesia was performed successfully.

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