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Case Reports
. 2017 Jun;45(3):169-171.
doi: 10.5152/TJAR.2017.92259. Epub 2017 Apr 27.

Importance of Sonography for Guiding Central Venous Cannulation in Patients with Neurofibromatosis

V K Mohan  1 , Neisevilie Nisa  1
Affiliations
Case Reports

Importance of Sonography for Guiding Central Venous Cannulation in Patients with Neurofibromatosis

V K Mohan et al. Turk J Anaesthesiol Reanim. 2017 Jun.

Abstract

A 15-year-old boy with neurofibromatosis type 1 (NF1) was referred to us for central venous catheter insertion, and on ultrasound of the neck, he was found to have extensive involvement of the brachial plexus due to the nerve sheath tumour. Multiple hypoechogenic lesions resembling the internal jugular vein and internal carotid artery were visualised and could be differentiated from the vessels by Doppler ultrasound. The importance of analyzing sonographic images of nerve sheath tumours, which can mimic blood vessels, and the importance of Doppler ultrasound for guiding central venous catheters in such patients to avoid nerve injury are discussed in this case report.

Keywords: Neurofibromatosis; central venous cannulation; ultrasound.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1
Figure 1
Multiple non-compressible vascular-like structures seen around the internal jugular vein and external carotid artery
Figure 2
Figure 2
Nerve sheath tumours appearing as vascular structures between the internal jugular vein and external carotid artery
See this image and copyright information in PMC

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