Management of spinal anesthesia for parturient with arnold chiari malformation type-1


EMMEZ G., Arik E., ÖZDEMİR Ç., BAYRAM M., Gunaydin B.

Anestezi Dergisi, cilt.26, sa.2, ss.95-97, 2018 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 2
  • Basım Tarihi: 2018
  • Dergi Adı: Anestezi Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.95-97
  • Anahtar Kelimeler: Arnold Chiari Malformation, Cesarean, Spinal anesthesia
  • Gazi Üniversitesi Adresli: Evet

Özet

Anesthetic management of cesarean delivery is challenging for parturients with congenital Arnold Chiari Malformation (ACM) type 1 characterized by herniation of the cerebellar tonsills. Some anesthesiologists avoid neuraxial techniques due to the potential risk of increased intracranial pressure associated outcomes, while some believe that neuraxial anesthesia can be performed with low risk in case of lack of new onset neurological findings. In the present case report, management of single shot spinal anesthesia for primiparous asymptomatic parturient with ACM type 1 scheduled to undergo emergency cesarean delivery due to anhydria was presented by discussing current literature.