Unexpected failure of the regionel block in neurofibromatosis: case report

Neurofibromatoses, mutation of the NF1 gene are autosomal disorders formed as neurofibromatosis type 1 (NF1), neurofibromatosis type 2 (NF2), and schwannomatosis. Neurofibromatosis type 1 is the most common of these disorders, seen 1 in 3500 individuals worldwide (1). Characteristic features of the disease; café au lait spots, neurofibromas, lisch nodules, macrocephaly, short stature, hypertelorism, thorax abnormalities, tumours of the central nervous system (optic and chiasm gliomas), orthopaedic abnormalities, endocrinological disorders, and malignancies (2). In this case report we describe the management of a patient with NF posted for urgent strongule herni with multiple neurofibromas common on his back and face causing difficulty both in regional anesthesia and general anaesthesia.