Ultrasound-guided and Peripheral Nerve Stimulator-guided Interscalene Brachial Plexus Block in a Patient with Neurofibromatosis during the COVID-19 Pandemic

Authors

  • Karl Matthew C. Sy Su Department of Anesthesiology, College of Medicine and Philippine General Hospital, University of the Philippines Manila
  • Nina C. Bella Department of Anesthesiology, College of Medicine and Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.v56i18.5668

Keywords:

ultrasound, neurofibromatosis, von Recklinghausen disease, brachial plexus block, interscalene block, regional block

Abstract

An 18-year-old female with neurofibromatosis presented for enucleation biopsy of a slow-growing soft tissue mass
on her right anteromedial arm during the COVID-19 pandemic. Ultrasonography was used in the mapping of the
brachial plexus and the identification of possible neurofibroma along peripheral nerves. An interscalene brachial
plexus nerve block was successfully and safely achieved with ultrasonographic and peripheral nerve stimulator
guidance. Ultrasound-guided and nerve stimulator-guided peripheral nerve blocks are safe and viable anesthetic
management options for patients with neurofibromatosis, especially in this time of the COVID-19 global pandemic.

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Published

2022-10-12

Issue

Vol. 56 No. 18 (2022): Anesthesiology Issue

Section

Articles

How to Cite

1.
Ultrasound-guided and Peripheral Nerve Stimulator-guided Interscalene Brachial Plexus Block in a Patient with Neurofibromatosis during the COVID-19 Pandemic. Acta Med Philipp [Internet]. 2022 Oct. 12 [cited 2025 Apr. 28];56(18). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/5668