Bozok Tıp Dergisi

2146-4006 2148-2438

Yozgat Bozok University

Health Care Administration

Sağlık Kurumları Yönetimi

İLERİ DÜZEYDE SEREBELLAR HERNİASYONU OLAN CHİARİ TİP I MALFORMASYONLU GEBE KADINLARIN DOĞUM ŞEKLİ NE OLMALIDIR: OLGU SUNUMU What Should be the Delivery Mode in Pregnant Women with Chiari Type I Malformation who have Severe Cerebellar Herniation : A Case Report

Doğan

Keziban

Güraslan

Hakan

İdil

Nadire Sevda

Doğan

Murat

Kanawatı

Ammar

12 19 2016

6 2 66 69 01 06 2017

2015

Bozok Medical Journal

Chiari tip I malformasyonu; serebellar herniasyon ile karakterize magnetik resonans görüntülemeile tanı konulabilen konjenital bir anomalidir. En sık görülen semptomlar; baş, boyun ve extremiteağrısı, özellikle üst ekstremitelerde görülen hipoestezi ve güçsüzlüktür. Chiari tip I malformasyonlugebe kadınlar için uygun doğum ve anestezi yöntemi hala tartışmalıdır. Biz bu makalede genelanestezi altında sezeryan ile doğurttuğumuz Chiari tip I malformasyonlu, ileri derecede serebellarherniasyonu olan bir olguyu sunduk. Multidisipliner bir yaklaşımla bu hastalar için uygun doğumve anestezi yöntemini tartışmayı amaçladık.ABSTRACTChiari type I malformation which is characterized by cerebellar herniation is a congenital anomalythat can be diagnosed by magnetic resonance imaging. Most common symptoms are headache,neck and extremity pain, hypoesthesia and weakness especially in the upper extremities. Thesuitable mode of delivery and anesthesia for the pregnant patients with Chiari type I malformationis controversial. In this case report, we present a case of 37 weeks of gestation of a pregnantwoman with Chiari type I malformation who had severe herniation of cerebellum and gave thebirth by cesarean section with general anesthesia. We aimed to discuss about the suitable modeof delivery and anesthesia for each patient with Chiari type I malformation with multidisciplinaryapproach.

Chiari tip I malformasyonu; Gebelik; Doğum

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