[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 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.
López
R
R
Escuela de Medicina de la Facultad de Medicina, Pontificia Universidad Católica de Chile.
Nazar
C
C
Sandoval
P
P
Guerrero
I
I
Mellado
P
P
Lacassie
H J
HJ
D000328:Adult; D015360:Analgesia, Epidural / Q000379:methods*; D016362:Analgesia, Obstetrical / Q000379:methods*; D001139:Arnold-Chiari Malformation / Q000150:complications*; D005260:Female; D006801:Humans; D011247:Pregnancy; D013595:Syringomyelia / Q000150:complications*