title: Epidural anesthesia in a parturient with neurofibromatosis type 2 undergoing cesarean section.
abstract: Neurofibromatosis type 2 (NF2) is a rare condition only recently recognized. We present a case describing successful regional analgesia in a parturient with NF2 after thorough imaging revealed no tumors within the epidural space. The presence of tumors within the spinal cord and nerve roots and their potential enlargement during pregnancy make routine neuraxial anesthesia hazardous in patients with NF2. Lumbosacral imaging before performing regional anesthesia is recommended.
authors.affiliation: Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA. jspiegel@caregroup.harvard.edu
authors.forename: J E
authors.initials: JE
authors.lastname: Spiegel
authors.forename: A
authors.initials: A
authors.lastname: Hapgood
authors.forename: P E
authors.initials: PE
authors.lastname: Hess
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D016543:Central Nervous System Neoplasms; D017604:Cesarean Section, Repeat; D005260:Female; D006801:Humans; D016518:Neurofibromatosis 2; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic