VNS implantation in a NF1 patient : massive nerve hypertrophy discovered intra-operatively preventing successful electrode placement. Case report
For the vast majority of surgeons, no specific investigation is necessary before vagal nerve stimulation (VNS) implantation. We report our intraoperative unexpected finding of a massively enlarged vagus nerve in a patient with neurofibromatosis type 1 (NF1). The nerve hypertrophy prevented wrapping the coils of the helical electrode. The patient had no signs of vagus nerve dysfunction preoperatively (no hoarseness or dysphonia). This exceptional mishap is undoubtedly related to NF1-associated peripheral nerve sheath tumors. Even though it is not advisable to routinely perform any imaging prior to VNS, in such specific context, preoperative imaging work-up, especially cervical ultrasound, might be judicious to rule out any asymptomatic enlarged left vagus nerve.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:162 |
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| Enthalten in: |
Acta neurochirurgica - 162(2020), 10 vom: 18. Okt., Seite 2509-2512 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hamdi, Hussein [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Completed 19.01.2021 Date Revised 19.01.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00701-020-04535-y |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM313835861 |
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| 245 | 1 | 0 | |a VNS implantation in a NF1 patient |b massive nerve hypertrophy discovered intra-operatively preventing successful electrode placement. Case report |
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| 500 | |a Date Revised 19.01.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a For the vast majority of surgeons, no specific investigation is necessary before vagal nerve stimulation (VNS) implantation. We report our intraoperative unexpected finding of a massively enlarged vagus nerve in a patient with neurofibromatosis type 1 (NF1). The nerve hypertrophy prevented wrapping the coils of the helical electrode. The patient had no signs of vagus nerve dysfunction preoperatively (no hoarseness or dysphonia). This exceptional mishap is undoubtedly related to NF1-associated peripheral nerve sheath tumors. Even though it is not advisable to routinely perform any imaging prior to VNS, in such specific context, preoperative imaging work-up, especially cervical ultrasound, might be judicious to rule out any asymptomatic enlarged left vagus nerve | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cervical ultrasonography | |
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| 650 | 4 | |a Vagal nerve stimulation | |
| 650 | 4 | |a Von Recklinghausen’s disease | |
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| 700 | 1 | |a Zanello, Marc |e verfasserin |4 aut | |
| 700 | 1 | |a Dibué, Maxine |e verfasserin |4 aut | |
| 700 | 1 | |a Beltaifa, Yassine |e verfasserin |4 aut | |
| 700 | 1 | |a Lagarde, Stanislas |e verfasserin |4 aut | |
| 700 | 1 | |a Trébuchon, Agnes |e verfasserin |4 aut | |
| 700 | 1 | |a Bartolomei, Fabrice |e verfasserin |4 aut | |
| 700 | 1 | |a Carron, Romain |e verfasserin |4 aut | |
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