Neuraxial analgesia during labor in a patient with Arnold-Chiari type I malformation and syringomyelia

Chiari type I malformation is a caudal displacement of the cerebellum with tonsillar herniation through the foramen magnum, frequently associated with syringomyelia, a syndrome characterized by cyst-like cavities in the spinal cord; each of the conditions leads to characteristic neurologic abnormali...

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Bibliographic Details
Published in:	Revista española de anestesiología y reanimación Vol. 54; no. 5; p. 317
Main Authors:	López, R, Nazar, C, Sandoval, P, Guerrero, I, Mellado, P, Lacassie, H J
Format:	Journal Article
Language:	Spanish
Published:	Spain 01-05-2007
Subjects:	Adult Analgesia, Epidural - methods Analgesia, Obstetrical - methods Arnold-Chiari Malformation - complications Female Humans Pregnancy Syringomyelia - complications
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Summary:	Chiari type I malformation is a caudal displacement of the cerebellum with tonsillar herniation through the foramen magnum, frequently associated with syringomyelia, a syndrome characterized by cyst-like cavities in the spinal cord; each of the conditions leads to characteristic neurologic abnormalities. Pregnant patients with these types of malformation are considered to have an increased risk of brainstem compression and/or progression of the disease during labor. We present the case of a patient in labor with a diagnosis of syringomyelia associated with Chiari type I malformation and describe the anesthetic management. The patient revealed during labor that she had syringomyelia associated with Chiari type I malformation, after having made no mention of it in previous history taking. Finally, we review the pathology observed in these patients.
ISSN:	0034-9356