Anesthetic Management of T12 Schwannoma in a Patient with Churg-Strauss Syndrome: A Case Report

Abstract

A case of Churg-Strauss syndrome with schwannoma of T12 in a middle-aged female with large hepatic hemangioma was presented with special emphasis on its anesthetic management and therapeutic protocol. To the authors' best knowledge, it was the first report of a case with a myriad of symptomatology.

Anesthetic Management of a Patient With Churg - Strauss Syndrome Who Underwent Revision Endoscopic Sinus Surgery - Case Report

“…Its incidence is variably reported from 2, 4 to 40 cases per one million people it can affect all age groups with the average of 35 to 45 years. Also, male are more commonly affected than females (12).…”

“…Five year mortality rate % FFS = 0 : Mild disease ; is seen without any of these factors 11,9% FFS= 1 : Severe disease ; presence of one factor 26% FFS ≥ 2 : very severe disease, two factors or more 46% In pre-operative evaluation of patients with CSS, pulmonary function tests (PFTs) in symptomatic patients are necessary to predict peri-operative and post operative pulmonary complications, our patient had been diagnosed with asthma for the last 8 years, but her asthma is usually well controlled with inhaled salbutamol and inhaled symbicort and the last asthma attack goes back more than 6 months. Cardiac involvement is known to be the major cause of death in CSS; therefore, the assessment of cardiac status should be performed to rule out eosinophilic endomyocardities, coronary dissection, coronary vasculitis, conduction abnormalities, congestive heart failure and pericardial effusion (12).…”