Is spinal block safe for cesarean delivery? – a case report of a patient with uncorrected type 1 Chiari malformation
Type 1 Chiari malformation is a downward displacement of the cerebellar tonsils with hindbrain overcrowding. The clinical picture is highly variable and their obstetric and anesthetic management is not consensual. We report the case of a patient with uncorrected type 1 Chiari malformation presenting...
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| Other Authors: | , |
| Format: | article |
| Language: | eng |
| Published: |
2017
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| Subjects: | |
| Online Access: | https://doi.org/10.25751/rspa.9394 |
| Country: | Portugal |
| Oai: | oai:ojs.revistas.rcaap.pt:article/9394 |
| Summary: | Type 1 Chiari malformation is a downward displacement of the cerebellar tonsils with hindbrain overcrowding. The clinical picture is highly variable and their obstetric and anesthetic management is not consensual. We report the case of a patient with uncorrected type 1 Chiari malformation presenting for elective cesarean delivery in whom a spinal block was performed. Anesthesia and surgery were uneventful. Mother’s sole complaint was neck stiffness which was solved after 3 days. Literature is scarce reporting only 2 previous uncorrected type 1 Chiari malformation patients being submitted to spinal anesthesia for cesarean delivery. The safety of spinal anesthesia for this scenario is discussed. |
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