• Rev Esp Anestesiol Reanim · May 2007

    Review Case Reports

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

    • R López, C Nazar, P Sandoval, I Guerrero, P Mellado, and H J Lacassie.
    • Escuela de Medicina de la Facultad de Medicina, Pontificia Universidad Católica de Chile.
    • Rev Esp Anestesiol Reanim. 2007 May 1;54(5):317-21.

    AbstractChiari 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.

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