Anesthetic Management in Arnold Chiari Malformation with Syringomyelia

We aimed to rewiew the management of anesthesia in a patient with decompressioned Arnold Chiari type I malformation accompanied with siringomiyelia undergone to ureteral dilatation.

📌 3 Key Takeaways

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Objective & Hypothesis:Arnold Chiari is a congenitally developed malformation.

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Key Findings & Data:Syringomyelia is accompanied in some of the cases.

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Conclusion & Impact:We aimed to rewiew the management of anesthesia in a patient with decompressioned Arnold Chiari type I malformation accompanied with siringomiyelia undergone to ureteral dilatation.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Arnold Chiari is a congenitally developed malformation. Syringomyelia is accompanied in some of the cases. Four types of malformation have been identified and type I is frequent in adults. Cerebellar tonsils are displaced downward from the foramen magnum in this type. In order to prevent tonsillar herniation, anesthesist should avoid central blocks and increasing intracranial pressure in the management of anesthesia. We aimed to rewiew the management of anesthesia in a patient with decompressioned Arnold Chiari type I malformation accompanied with siringomiyelia undergone to ureteral dilatation.

Özet

Arnold Chiari malformasyonu konjenital olarak gelişen bir malformasyondur. Olguların bazılarına siringomiyeli de eşlik etmektedir. Dört tipi olup erişkinlerde sıklıkla tip I görülür. Bu tipte serebellar tonsiller, foramen magnumdan aşağı doğru yer değiştirir. Anestezi yönetiminde; tonsiller herniasyonu artırmamak için santral bloklardan kaçınmak, intrakraniyal basıncı artırmadan genel anestezi ve havayolu yönetimi yapılmalıdır. Siringomiyelinin eşlik ettiği tip I Arnold Chiari malformasyonu nedeniyle dekompresyon geçirmiş olgunun, üreteral dilatasyonu için anestezi yönetimini literatür eşliğinde gözden geçirmeyi amaçladık.

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Cite This Article

ŞANLI, M., DURAK, M. A., ŞANLI, B., GÜLHAŞ, N., GÜLERCE, H., ERSOY, M. Ö. (2014). Anesthetic Management in Arnold Chiari Malformation with Syringomyelia. Medicine Science, Cilt: 3 - Sayı: 3, 1538–1544. https://ajindex.com/articles/277844

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