Journal article
Thoracic epidural analgesia in a patient with von Hippel‐Lindau disease
Clinical case reports, Vol.10(3), pp.e05629-n/a
03/2022
DOI: 10.1002/ccr3.5629
PMCID: PMC8939037
PMID: 35356177
Abstract
von Hippel‐Lindau disease (VHLD) is an autosomal dominant disorder characterized by central nervous system hemangioblastomas and renal tumors. Here, we report a case of thoracic epidural placement in a 35‐year‐old woman with VHLD presenting for left open heminephrectomy for renal masses. We also reviewed the literature on this topic.
Spinal hemangioblastomas in patients with VHLD may be ruptured by neuraxial instrumentation. However, in the absence of spinal hemangioblastoma close to the site of needle entry, neuraxial anesthesia can be used safely. The decision should be made on a case‐by‐case basis with the risks and benefits in mind.
Details
- Title: Subtitle
- Thoracic epidural analgesia in a patient with von Hippel‐Lindau disease
- Creators
- Amanda Yap - Eastern Maine Medical CenterSatoshi Hanada - Roy J. and Lucille A. Carver College of MedicineSapna Ravindranath - Indiana UniversityTejinder Singh Swaran Singh - University of IowaYatish Siddapura Ranganath - Indiana University
- Resource Type
- Journal article
- Publication Details
- Clinical case reports, Vol.10(3), pp.e05629-n/a
- DOI
- 10.1002/ccr3.5629
- PMID
- 35356177
- PMCID
- PMC8939037
- NLM abbreviation
- Clin Case Rep
- ISSN
- 2050-0904
- eISSN
- 2050-0904
- Number of pages
- 0
- Grant note
- Department of Anesthesia at the University of Iowa Carver College of Medicine
- Language
- English
- Date published
- 03/2022
- Academic Unit
- Anesthesia
- Record Identifier
- 9984296128702771
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