GÖKÇEN EMMEZ, Esma ARIK, Çağrı ÖZDEMİR, MERİH BAYRAM, DUDU BERRİN GÜNAYDIN

ARNOLD CHIARI TİP - 1 MALFORMASYONLU GEBEDE SPİNAL ANESTEZİ YÖNETİMİ

Serebellar tonsillerin herniasyonu ile karakterize konjenital Arnold Chiari malformasyonu (ACM) tip-1 tanısına sahip gebelerde sezaryen için anestezi yönetimi özelliklidir. Bazı anestezistler ACM tip-1 tanılı hastalarda olası intrakraniyal basınç artışı riski ve buna bağlı sonuçlar nedeniyle nöroaksiyel yöntemlerden kaçınırken, bazıları da yeni gelişen nörolojik bir semptom yoksa nöroaksiyel bloğun düşük riskle uygulanabileceği görüşündedirler. Bu olgu sunumunda asemptomatik ACM tip 1’li primipar gebede anhidri endikasyonu ile acil sezaryende uyguladığımız tek doz spinal anestezi yönetimimizi güncel literatür eşliğinde tartışarak sunduk.

MANAGEMENT OF SPINAL ANESTHESIA FOR PARTURIENT WITH ARNOLD CHIARI MALFORMATION TYPE - 1

Anesthetic management of cesarean delivery is challenging for parturients with congenital Arnold Chiari Malformation (ACM) type 1 characterized by herniation of the cerebellar tonsills. Some anesthesiologists avoid neuraxial techniques due to the potential risk of increased intracranial pressure associated outcomes, while some believe that neuraxial anesthesia can be performed with low risk in case of lack of new onset neurological Şndings. In the present case report, management of single shot spinal anesthesia for primiparous asymptomatic parturient with ACM type 1 scheduled to undergo emergency cesarean delivery due to anhydria was presented by discussing current literature.

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