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.

Two Pregnants' Cesarean Anesthetic Management Who Have Intracranial Mass Lesion: Case Report

“…Anestezinin intrakraniyal yer kaplayıcı lezyonu olan hastalardaki en önemli hedeflerinden biri, artmış kafa içi basıncı daha da ağırlaştırmama ve olası bir beyin herniasyonuna karşı tedbir almaktır. 8 French ve ark., beyin sol hemisferine yerleşmiş astroglial tü-mörü olan gebe olguya da genel anestezi tercih etmiş ve postoperatif analjezi için transversus abdominis plane (TAP) blok uygulamışlardır. 5 Atanassoff ve ark.…”