Giant lumbosacral schwannoma, neuroanesthetic challenges involved in surgical resection, management and postoperative evolution: A Case Report

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International Journal of Development Research

Volume: 
13
Article ID: 
26556
4 pages
Research Article

Giant lumbosacral schwannoma, neuroanesthetic challenges involved in surgical resection, management and postoperative evolution: A Case Report

Pedro Igor Lima Soares, Solange Costa Novo Cabral, Christiane Rodrigues da Silva, Leopoldo Palheta Gonzalez, Matheus Vinícius de Souza Carneiro, Geisy de Andrade Lima, Paloam Cardoso Novo, Roberto Lima, Joaquim Kanawati, Robson Luiz de Oliveira Amorim, Júlio Gomes do Nascimento Amaral and Jeancarllo de Souza Silva

Abstract: 

Pelvic retroperitoneal schwannommas are rare entities that are characterized by slow growth, are oligosymptomatic, and diagnosis of the advanced stage is through compressive symptons of nearby structures, which is a challenge for surgical treatment, anesthetic management and pain control. We present the case of a 57-year-old patient with lumbosacral schwannoma, who underwent multimodal opioid-sparing anesthesia, based on intravenous lidocaine infusion, with two operative times totaling 14 hours of surgery, and its evolution and pain management after intervention. The anesthetic planning, individualizing the patient’s needs, is the focus for a better outcome.

DOI: 
https://doi.org/10.37118/ijdr.26556.04.2023
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