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

Rewari, Vimi; Singh, Sukhbir; Trikha, Anjan

doi:10.1016/j.jclinane.2007.12.016

Cited by 4 publications

(11 citation statements)

References 14 publications

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“…3 En çok görülen varyant olan Tip I Malformasyon sıklıkla erişkinlerde görülüp semptomların başlangıç yaş aralığı 25-30'dur. 4 Olguların %30'u asemptomatiktir. Semptomlar ve bulgular çok geniş bir spektrumda yer alıp tipik olarak sinsi ve yavaş olarak ilerlemekte bununla birlikte ilerleyici ve ciddi nörolojik defisitler de görülebilmektedir.…”

Section: Discussionunclassified

“…Chiari Tip I malformasyonu foramen magnum tıkanıklığına bağlı serebrospinal sıvının akışında düzensizliklere neden olan siringomiyeli olarak adlandırdığımız omurilik kistik kavite formasyonu ile birliktelik gösterebilir. 4 İlerleyici ve önemli belirtileri olan hastalar için tedavi, geniş bir dural greft yerleştirilmesi ile suboksipital kraniektomi içerir. Özellikle görüntüleme çalışmalarında tesadüfen keşfedilen anomaliye sahip asemptomatik hastalarda genellikle tedavi seçenekleri arasında cerrahi yoktur.…”

Section: Discussionunclassified

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Anesthesia management for pregnant patient with Arnold-Chiari malformation type I: A case report

Küçük¹

2012

Dicle Med J

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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.

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Section: Discussionunclassified

Anesthesia management for pregnant patient with Arnold-Chiari malformation type I: A case report

Küçük¹

2012

Dicle Med J

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“…Remarkably, only one of these studies has explored the anesthetic management in the context of laparoscopic surgery for KFS patients. 7 No established anesthetic management guidelines currently exist for this patient population. The anesthetic plan for this particular patient was formulated through a meticulous assessment of the potential interplay between anesthesia, surgery, and her underlying syndrome.…”

Section: Introductionmentioning

confidence: 99%

Anesthetic Management of a Patient with Klippel-Feil Syndrome for Laparoscopic Pelvic Surgery: A Case Report

Chua, MD,

Cruz, MD

2024

Acta Med Philipp

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Klippel-Feil Syndrome (KFS) continues to pose significant challenges for anesthesiologists. Beyond the expected complexities of managing difficult airways in these patients, they often present with systemic anomalies that can elevate the risk of morbidity during surgeries conducted under anesthesia. Furthermore, laparoscopic procedures bring about additional physiologic changes that must be taken into consideration when planning the anesthetic care for these individuals. This report details the anesthetic management of a 29-year-old female diagnosed with Klippel-Feil Syndrome (KFS) and concomitant Müllerian duct aplasia-Renal agenesis-Cervicothoracic Somite dysplasia (MURCS) as well as Chiari Type 1 Malformation, who underwent a successful pelvic laparoscopic surgery. The airway was secured through awake fiberoptic-guided intubation while general anesthesia was maintained with a combination of sevoflurane inhalation and remifentanil infusion. Intraoperatively, the team prioritized neuroprotection, lung-protective ventilation strategies, and renal preservation measures. The anesthetic management of patients with KFS necessitates a comprehensive assessment of their anomalies. Incorporating these considerations into the anesthetic management will help mitigate the procedure's adverse effects and lead to favorable patient outcomes.

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“…Arnold Chiari Malformation (ACM) is a congenital anomaly defined as the displacement of the brain stem and cerebellum towards the cervical spinal canal. There are four types; Type I is the most common among adults (1). Syringomyelia was present in 30-70% of these cases (2).…”

Section: Introductionmentioning

confidence: 99%

Anesthesia Experience Of A Pediatric Patient With Arnold Chiari Type I Malformation

Ural¹,

İnal²,

Gergin³

2018

Kocaeli Med J

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

Cited by 4 publications

References 14 publications

Anesthesia management for pregnant patient with Arnold-Chiari malformation type I: A case report

Anesthesia management for pregnant patient with Arnold-Chiari malformation type I: A case report

Anesthetic Management of a Patient with Klippel-Feil Syndrome for Laparoscopic Pelvic Surgery: A Case Report

Anesthesia Experience Of A Pediatric Patient With Arnold Chiari Type I Malformation

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