Fatal Triad of Subarachnoid Hemorrhage, Cervical Hematoma, and Upper Airway Obstruction in a Patient With Neurofibromatosis Type 1: A Case Report
Awareness of rare diseases such as NF1 is essential in critical care settings. Patients presenting with café-au-lait spots or cutaneous neurofibromas are at risk of vascular complications due to vascular fragility. This case of dual bleeding sources and airway obstruction from a neck hematoma underscores the need for interdisciplinary management. The role of proactive vascular screening in critically ill NF1 patients remains uncertain. Future approaches may incorporate advanced imaging and biomarker development to better stratify vascular risk and guide individualized care.
Authors
- Michael Bauer (ORCID: https://orcid.org/0000-0002-2666-859X)
- Marcus Ruhlmann (ORCID: https://orcid.org/0009-0004-2459-4947)
- Christian Senft (ORCID: https://orcid.org/0000-0003-1288-6913)
- Caroline Neumann (ORCID: https://orcid.org/0000-0003-1574-1760)
- Matthias Gawlitza (ORCID: https://orcid.org/0000-0002-1229-3352)
- Nazife Dinc (ORCID: https://orcid.org/0000-0001-9494-1108)
- Johannes Ehler (ORCID: https://orcid.org/0000-0001-7866-9781)
Institutions
- Jena University Hospital (DE)
Publication Details
- Journal
- Critical Care Explorations
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1097/cce.0000000000001358
- Primary Topic
- Spinal Hematomas and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00