Anesthesia Management For Pregnant Patient With Arnold-Chiari Malformation Type I: A Case Report

Öz

The Arnold Chiari malformation (ACM) is a congenital anomaly of the hindbrain. It is characterized by downward displacement of brains tern and cerebellum to the cervical spinal canal. ACM may show head and limb pains, vertigo, hypoesthesia, weakness in the extremities. Anesthetic management of cesarean surgery with Arnold-Chiari type I malformation poses a difficult challenge for the anesthesiologist Measurement of intracranial pressure at the operations in these patients is an important measure thus precautions should be taken for avoidance of increased intracranial pressure. The increase in intracranial pressure can be detrimental to the mother and fetus. The patient was a 33 years old and 38 weeks pregnant women who presented repeat cesarean surgery with ACM-II. On examination, there was no neurological deficit. In this case report, we discussed the anesthetic manage­ment of a caesarean section with ACM who underwent an elective caesarean section Key words: Arnold-Chiari Malformation; General Anesthesia; Pregnancy.

Anahtar Kelimeler

• Arnold-Chiari Malformation; General Anesthesia; Pregnancy.

Arnold-Chiari Tip I Malformasyonlu Gebede Anestezik Yaklaşım: Olgu Sunumu

Öz

Arnold Chiari Malformasyonu (ACM) beyin sapı ve serebellumun servikal spinal kanala doğru yer değiştirdiği konjenital bir anomalidir. ACM, baş ve ekstremite ağrıları, vertigo, hipoestezi, ekstremitelerde güçsüzlük gibi semptomlar gösterebilir. Arnold-Chiari tip I malformasyonu olan hastada sezaryende anestezik yönetim anestezist için zor bir sorun teşkil etmektedir. Ameliyatlarda, bu hastalarda intrakranial basınç önemli olup basıncın korunması yönünde tedbir alınmalıdır. İntrakranial basınçtaki artış anne ve fetüs için zararlı olabilir. Olgumuz 33 yaşında, 38 haftalık gebe olup mükerrer sezaryen için gelen ACM II hastasıdır. Nörolojik değerlendirmesinde herhangi bir defisitit yoktu. Bu olgu sunumunda biz, elektif sezaryen operasyonu planlanan ACM'lu sezaryen operasyonunda anestezi yönetimini tartışmayı amaçladık. Anahtar kelimeler: Arnold-Chiari Malformasyonu; Genel Anestezi; Gebelik.

Anahtar Kelimeler

• Arnold-Chiari Malformasyonu; Genel Anestezi; Gebelik.

Kaynakça

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