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Detection of severe hypertension in a patient with neurofibromatosis type 1 during anesthesia induction: a case report.
J Med Case Rep ; 13(1): 349, 2019 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-31783902
ABSTRACT

BACKGROUND:

Neurofibromatosis type 1 has a higher prevalence of pheochromocytoma and paraganglioma than the general population: 1.0-5.7% versus 0.2-0.6%. Currently, there are no generally accepted guidelines for screening for pheochromocytoma and paragangliomas in asymptomatic patients with neurofibromatosis type 1.CASE PRESENTATION: Severe hypertension developed during anesthesia induction in our patient, a 44-year-old Chinese man with neurofibromatosis type 1. We screened for catecholamine level after glioma resection, and the patient was diagnosed with combined pheochromocytoma and paraganglioma.

CONCLUSIONS:

A delay in diagnosis or lack of a diagnosis in pheochromocytoma and paraganglioma may increase the perioperative morbidity and mortality risk due to excess catecholamine secretion. Therefore, routine pheochromocytoma and paraganglioma screening preoperatively in patients with neurofibromatosis type 1 is very important.

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Aspecto clínico: Etiologia Idioma: Inglês Revista: J Med Case Rep Ano de publicação: 2019 Tipo de documento: Artigo País de afiliação: China