Anaesthesia for caesarean section in a patient with syringomyelia and Arnold-Chiari type I malformation

Agustí, Mercé; Adàlia, R.; Fernández, Claudia L.; Gomar, C.

doi:10.1016/j.ijoa.2003.09.005

Cited by 33 publications

(28 citation statements)

References 12 publications

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“…Other issues with the administration of general anesthesia include ventilation-perfusion abnormalities due to vertebral column deformities and an unpredictable response to muscle relaxants in patients with neurological involvement. 21,22 Our patient had severe torticollis and a dystonic muscle mass in the neck, which might have posed an additional problem during airway intervention.…”

Section: Discussionmentioning

confidence: 90%

Epidural anesthesia for Cesarean delivery in a patient with post-traumatic cervical syringomyelia

Margarido

Mikhael

Salman

et al. 2011

Can J Anesth/J Can Anesth

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Section: Discussionmentioning

confidence: 90%

Epidural anesthesia for Cesarean delivery in a patient with post-traumatic cervical syringomyelia

Margarido

Mikhael

Salman

et al. 2011

Can J Anesth/J Can Anesth

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“…Specific attempts should be made to control the increase in ICP and to avoid CSF pressure fluctuations during intubation and extubation. 10 …”

Section: Discussionmentioning

confidence: 99%

Spinal neuraxial anaesthesia for Caesarean section in a parturient with Type I Arnold–Chiari malformation and syringomyelia

Teo

2018

Proceedings of Singapore Healthcare

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Type 1 Arnold-Chiari Malformation is associated with prolapse of the cerebellar tonsils into or below the level of the foramen magnum and is usually diagnosed in adults. There are no current guidelines for the management of patients with a residual Type I Arnold-Chiari Malformation, planned for a Caesarean section under spinal neuraxial anaesthesia. The paucity of literature on this topic presents as a management dilemma. We report a case of a term parturient with Type 1 Arnold-Chiari Malformation, following surgical decompression four years earlier, with a residual syringomyelia who underwent an elective Caesarean section under spinal neuraxial anaesthesia. This case highlights that multidisciplinary management and an early anaesthetic consult is of paramount importance in the outcome of the patient, and that spinal neuraxial anaesthesia can be considered as a safe anaesthetic option.

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“…A review of literature showed three reports of safe use of general anesthesia for cesarean delivery in patients with Chiari I malformation [5,7,8]. Anesthetic management in these patients must consider the possibility of an associated increase in ICP during laparoscopic surgery that may aggravate the cerebellar herniation into the cervical spinal canal through the foramen magnum.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic cholecystectomy in a morbidly obese patient with Chiari I malformation and craniocervical anomalies

Rewari

Singh

Trikha

2008

Journal of Clinical Anesthesia

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Anaesthesia for caesarean section in a patient with syringomyelia and Arnold-Chiari type I malformation

Cited by 33 publications

References 12 publications

Epidural anesthesia for Cesarean delivery in a patient with post-traumatic cervical syringomyelia

Epidural anesthesia for Cesarean delivery in a patient with post-traumatic cervical syringomyelia

Spinal neuraxial anaesthesia for Caesarean section in a parturient with Type I Arnold–Chiari malformation and syringomyelia

Laparoscopic cholecystectomy in a morbidly obese patient with Chiari I malformation and craniocervical anomalies

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