EDISCIENCES

ABSTRACT

This is the case of a man in his 30s with plexiform neuro bromatosis of the right leg status-post partial surgical resection of the right thigh. He presented to the prehabilitation clinic prior to elective surgery for progression of his neuro bromatosis. The patient was primarily bedridden secondary to pain, fatigue, wounds, and tumor burden. He required assistance for basic ADLs. He underwent a right hip disarticulation and was then admitted to inpatient rehabilitation. He progressed very well functionally and was ultimately discharged home. Plexiform neuro bromas (pNFs) are a more severe phenotype of Neuro bromatosis Type 1, which arises in deeper tissues, invades into the dermis and can be highly vascular. These tumors are associated with signi cant morbidity related to pain, local lymphatic compression, and loss of nerve function. Postoperatively, physiatry can play a crucial role in recovery, regaining function and improving quality of life. Despite the remarkable impact on function these tumors may have on our patients, there is a paucity of literature on such cases, particularly in the rehabilitation realm. This case demonstrates how early collaboration with a physiatrist can bene t these patients and their functional outcomes.