Management of parturients in active labor with Arnold Chiari malformation, tonsillar herniation, and syringomyelia

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Management of parturients in active labor with Arnold Chiari malformation, tonsillar herniation, and syringomyelia

BACKGROUND Arnold-Chiari malformation Type 1 (ACM-1) in parturients is a topic of ongoing discussion between obstetricians and anesthesiologists. The primary unanswered question remains; How should the anesthesia provider proceed with labor analgesia and anesthesia for cesarean section when confronted with an advanced, asymptomatic, or minimally symptomatic case of ACM-1 during labor? CASE DE...

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Arnold-Chiari malformation with syringomyelia in an elderly woman.

PRESENTATION A 76-year-old woman, complaining of leg pain and unsteady gait for 3 years, presented with a spastic paraparetic gait, severe spasticity and touch, thermal and pain sensory loss limited to arms, lower thorax and upper abdomen. Brain and spinal cord magnetic resonance imaging showed a large loculated syrinx. Cerebellar tonsillar herniation into the foramen magnum was also seen (Arno...

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[Arnold-Chiari malformation].

Address for Correspondence: Dr. Joseph Abraham, Department of Anatomy, Government Medical College and Hospital, Chandigarh 32, India, 160030. Phone No.: +919041466127. E-Mail: [email protected] Chiari malformations (CM) are named for Hans Chiari, an Austrian pathologist, who first identified type I-III in 1891. This study was conducted on 400 fetuses obtained from department of Obstetrics an...

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Chiari–like malformation and syringomyelia

INTRODUCTION Syringomyelia is a condition characterised by fluid filled cavities (syrinxes or syringes) within the central spinal cord and the resulting damage produces clinical signs of pain and neurological deficits. Since the increase in availability of magnetic resonance imaging (MRI), syringomyelia is an increasingly common diagnosis in veterinary medicine [1, 2] The most common cause of s...

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Acute respiratory failure as the first sign of Arnold-Chiari malformation associated with syringomyelia.

We report a rare case of acute respiratory failure in a previously asymptomatic patient showing clinical signs of inferior cranial nerve palsy together with weakness and muscular atrophy of the upper limbs. Magnetic resonance imaging revealed Arnold-Chiari malformation associated with platybasia, basilar impression, syringomyelia and Klippel-Feil syndrome. Episodes of apnoea required tracheosto...

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ژورنال

عنوان ژورنال: Surgical Neurology International

سال: 2017

ISSN: 2152-7806

DOI: 10.4103/2152-7806.198737