Anesthesia management for pregnant patient with Arnold-Chiari malformation type I: A case report

Abstract

The Arnold-Chiari I malformation (ACM) is a congenital anomaly characterized by downward herniation of the cerebellar tonsils into the spinal canal. The anomaly may present in a variety of ways with vague symptoms such as head and limb pains, vertigo, hypoesthesia, weakness in the extremities. Diagnosis is often difficult and therefore delayed. Measurement of intracranial pressure in these patients is an important measure thus precautions shoul be taken for avoidance of increased intracranial pressure. In this case report, we discussed the anesthetic management of a pregnant patient with Arnold Chiari I malformation who underwent an emergency caesarean section.

Keywords

• Arnold-Chiari malformation, general anesthesia, pregnancy

Anesthesia management for pregnant patient with Arnold-Chiari malformation type I: A case report

Abstract

Arnold-Chiari I malformasyonu (ACM), serebellar tonsillerin aşağıya, spinal kanala doğru herniyasyonu ile karakterize konjenital bir anomalidir. Anomali kendini, baş ve ekstremite ağrıları, vertigo, hipoestezi, ekstremitelerde güçsüzlük gibi silik ve değişik belirtilerle gösterebilir. Tanı genellikle güçtür ve bundan dolayı gecikmiştir. Bu hastalarda intrakranial basınç önemli olup basıncın korunması yönünde tedbir alınmalıdır. Bu olgu sunumunda acil sezeryan operasyonu planlanan Arnold-Chiari I malformasyonlu gebede anestezi yönetimini tartıştık.

Keywords

• Arnold Chiari malformasyonu, genel anestezi, gebelik

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