Anaesthetic Management in a Patient With Arnold-Chiari Malformation Type I and Syringomyelia

Balaji, Kartika; R, Pratap; Vijayalaxmi, G; P, Kalyan Chakravarthy; Nagaraju, J

doi:10.14260/jemds/633

Cited by 1 publication

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References 11 publications

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“…Arnold-Chiari malformation is a developmental malformation characterized by downward displacement of cerebellar tonsils into the spinal canal due to reduced capacity of the posterior fossa. 1 The anatomical variations attributing to the Arnold-Chiari malformation is due to the failure of the pontine flexure to form normally from the 28th to 29th day of gestation which causes the elongation of the brainstem. These structural deformities lead to blockage in the flow of cerebrospinal fluid, producing an embryological hydrocephalus.…”

Section: Introductionmentioning

confidence: 99%

Anesthetic Management of a Rare Case of Type 2 Arnold-Chiari Malformation with Hydrocephalus, Lumbar Myelomeningocele and Thoracolumbar Scoliosis

Sahajananda¹,

John²,

Katari³

et al. 2019

The Journal of Medical Sciences

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Arnold-Chiari malformation is a group of deformities seen in the hindbrain that is cerebellum, pons, and medulla oblongata. Based on the morphology of the malformations as seen radiologically or during an autopsy, Chiari II includes brainstem, fourth ventricle, and greater than 5 mm descent of the caudal tip of cerebellar tonsils past the foramen magnum with spina bifida. In the present case, a report of anesthetic management of a 29-year-old school clerk presented with hydrocephalus and myelomeningocele and MR imaging revealed herniation of cerebellum and medulla through foramen magnum, hence, confirming it to be a case of type II Chiari malformation posted for ventriculoperitoneal shunting and foramen magnum decompression.

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Section: Introductionmentioning

confidence: 99%