{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:16:14Z","timestamp":1740176174439,"version":"3.37.3"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Dural ectasia is a common manifestation of neurofibromatosis type 1. Although there have been reports of unsuccessful spinal anesthesia due to dual ectasia in Marfan syndrome, reports describing similar unsuccessful spinal anesthesia in neurofibromatosis type 1 are lacking.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A parturient with neurofibromatosis type 1 was scheduled for a repeat cesarean section. During a previous cesarean section, she had experienced a failed spinal anesthesia, which resulted in a conversion to general anesthesia. Preoperative lumbar magnetic resonance imaging revealed dural ectasia, which was speculated to be the cause of the previous spinal anesthesia failure. Therefore, combined spinal-epidural anesthesia was implemented. Because the block level of spinal anesthesia was insufficient as predicted, supplemental administration of epidural anesthesia successfully provided adequate analgesia for the surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Combined spinal-epidural anesthesia can be useful for the management of cesarean sections in patients with neurofibromatosis type 1-associated dural ectasia.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40981-024-00745-w","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T11:01:42Z","timestamp":1727780502000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A successful combined spinal-epidural anesthesia for cesarean section in a patient with neurofibromatosis type 1-associated dural ectasia"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6438-9704","authenticated-orcid":false,"given":"Hitomi","family":"Taka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuyoshi","family":"Kusama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minami","family":"Sakamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuko","family":"Sasano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motoshi","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,10,1]]},"reference":[{"key":"745_CR1","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1093\/bja\/86.4.555","volume":"86","author":"NP Hirsch","year":"2001","unstructured":"Hirsch NP, Murphy A, Radcliffe JJ. Neurofibromatosis: clinical presentations and anaesthetic implications. Br J Anaesth. 2001;86:555\u201364.","journal-title":"Br J Anaesth"},{"key":"745_CR2","doi-asserted-by":"publisher","first-page":"e157","DOI":"10.1016\/j.wneu.2022.10.100","volume":"169","author":"M Sial","year":"2023","unstructured":"Sial M, George KJ. A review of spinal lesions in neurofibromatosis type 1 in a large neurofibromatosis type 1 center. World Neurosurg. 2023;169:e157\u201363.","journal-title":"World Neurosurg"},{"key":"745_CR3","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1093\/neuros\/nyz244","volume":"86","author":"SP Polster","year":"2020","unstructured":"Polster SP, Dougherty MC, Zeineddine HA, Lyne SB, Smith HL, MacKenzie C, et al. Dural ectasia in neurofibromatosis 1: case series, management, and review. 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Dural ectasia is a common feature of the Marfan syndrome. Am J Hum Genet. 1988;43:726\u201332.","journal-title":"Am J Hum Genet"},{"key":"745_CR7","doi-asserted-by":"publisher","first-page":"910","DOI":"10.1016\/S0140-6736(98)12448-0","volume":"354","author":"R Fattori","year":"1999","unstructured":"Fattori R, Nienaber CA, Descovich B, Ambrosetto P, Reggiani LB, Pepe G, et al. Importance of dural ectasia in phenotypic assessment of Marfan\u2019s syndrome. Lancet. 1999;354:910\u20133.","journal-title":"Lancet"},{"key":"745_CR8","doi-asserted-by":"publisher","first-page":"1052","DOI":"10.1007\/s12630-012-9778-5","volume":"59","author":"L Baghirzada","year":"2012","unstructured":"Baghirzada L, Krings T, Carvalho JCA. Regional anesthesia in Marfan syndrome, not all dural ectasias are the same: a report of two cases. Can J Anaesth. 2012;59:1052\u20137.","journal-title":"Can J Anaesth"},{"key":"745_CR9","doi-asserted-by":"publisher","first-page":"S104","DOI":"10.4097\/kjae.2014.67.S.S104","volume":"67","author":"HJ Yang","year":"2014","unstructured":"Yang HJ, Baek IC, Park SM, Chun DH. Inadequate spinal anesthesia in a parturient with Marfan\u2019s syndrome due to dural ectasia. Korean J Anesthesiol. 2014;67:S104\u20135.","journal-title":"Korean J Anesthesiol"},{"key":"745_CR10","doi-asserted-by":"publisher","first-page":"1624","DOI":"10.1002\/ajmg.a.32301","volume":"146A","author":"TM Roth","year":"2008","unstructured":"Roth TM, Petty EM, Barald KF. The role of steroid hormones in the NF1 phenotype: focus on pregnancy. Am J Med Genet A. 2008;146A:1624\u201333.","journal-title":"Am J Med Genet A"},{"key":"745_CR11","first-page":"111","volume":"12","author":"CJ Fox","year":"2012","unstructured":"Fox CJ, Tomajian S, Kaye AJ, Russo S, Abadie JV, Kaye AD. 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