What should be the delivery mode a pregnant women with Chiari type I malformation who has severe cerebellar herniation : a case report

Yıl 2015, Cilt: 5 Sayı: 2, 0 - 0, 01.06.2015

Keziban Doğan

Öz

Abstract

Chiari type I malformation which is characterized by cerebellar herniation is a  congenital anomaly that can be diagnosed by magnetic resonance imaging. Most common  symptoms  are  headache, neck and extremity pain, hypoesthesia and weakness  especially  in the upper  extremities. The suitable mode of delivery and anesthesia for the pregnant patients with Chiari type I malformation is controversial. In this paper, we  present a case of  37 weeks of gestation of a pregnant woman with  Chiari type I malformation who had severe herniation of cerebellum and  gave the birth by cesarean section with general anesthesia. We  aimed  to discuss about the suitable mode of delivery and anesthesia  for each patient with Chiari type I malformation with multidisciplinary approach .

Key words:  Chiari type I malformation, pregnancy, delivery mode, anesthesia

İleri düzeyde serebellar herniasyonu olan Chiari tip I  malformasyonlu gebe bir kadının doğum şekli ne olmalıdır: Olgu sunumu

Özet

Chiari tip I  malformasyonu; serebellar herniasyon ile karakterize magnetik resonans görüntüleme ile tanı konulabilen konjenital bir anomalidir.En sık görülen semptomlar; baş, boyun ve extremite ağrısı, özellikle üst ekstremitelerde görülen hipoestezi ve güçsüzlüktür. Chiari tip I  malformasyonlu gebe kadınlar için uygun doğum ve anestezi yöntemi hala tartışmalıdır. Biz bu makalede genel anestezi altında sezeryan ile doğurttuğumuz Chiari tip I  malformasyonlu, ileri derecede serebellar herniasyonu olan bir olguyu sunduk. Multidisipliner bir yaklaşımla bu hastalar için uygun doğum ve anestezi yöntemini tartışmayı amaçladık.

Anahtar kelimeler: Chiari tip I  malformasyonu, gebelik, doğum şekli, anestezi yöntemi

 

Kaynakça

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