Episode 64: Problems during pregnancy with Jacqueline Galvan part 2
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
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Having a Spinal Neurofibroma in Pregnancy?
There are case reports of epidural hematoma in patients with neurofibromatosis type one, so I think it is a genuine concern. During pregnancy, these patients have increased risk of things like preeclampsia, cerevascular disease, preterm labor, and C-section. It probably is very, really prudent to have some sort of imaging around the peripartum time before anorectal anesthetic is performed. And there are some authors that suggest that even patients that are asymptomatic in terms of spinal neurofibrome might be present.
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