Ultrasound-guided and Peripheral Nerve Stimulator-guided Interscalene Brachial Plexus Block in a Patient with Neurofibromatosis during the COVID-19 Pandemic
DOI:
https://doi.org/10.47895/amp.v56i18.5668Keywords:
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.