Introduction:

the management of genetic diseases is challenging because of their low incidence, diverse etiology, coexisting diseases, and variability in responses to anesthetics. This case presentation provides new insight into how to approach multimodal general anesthetic management in patients with Von Hippel-Lindau disease.

Patient information:

a 49-year-old female patient is presented for orthopedic surgery with open tibial wound and history of bronchial asthma and Von Hippel-Lindau disease, operated for cerebellar hemangioblastoma and renal carcinoma, with current left meningeal and cerebellar hemangioblastoma with clinical and imaging follow-up, renal and pancreatic cysts, right adrenal nodular lesion of recent appearance (ruling out the possibility of pheochromocytoma) and recent migraine headache unrelated to endocranial hypertension despite the mass effect of the cerebellar tumor. Multimodal general anesthetic management was performed.

Conclusions:

The possibility of performing multimodal minimally invasive techniques in the surgical intervention of a high surgical risk patient with Von Hippel-Lindau disease with open tibial wound can be considered in order to minimize transoperative morbidity and mortality and to avoid complications.

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