Extradural anaesthesia for caesarean section in a patient with syringomyelia and Chiari type I anomaly.
We describe elective Caesarean section performed under extradural anaesthesia in a parturient with symptomatic syringomyelia and coexisting Chiari type I anomaly. Syringomyelia is reviewed and the anaesthetic implications of the condition discussed. Anaesthesia should be directed primarily at avoidance of increased intracranial pressure, which can cause sudden deterioration in these patients.
Nel
M R
MR
Department of Anaesthesia, Northwick Park Hospital, Harrow, Middlesex.
Robson
V
V
Robinson
P N
PN
D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical / Q000379:methods*; D001139:Arnold-Chiari Malformation; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D013595:Syringomyelia