Hakan GÜRASLAN, Murat DOĞAN, Nadire Sevda İDİL, Ammar KANAWATI, Keziban DOĞAN

İLERİ DÜZEYDE SEREBELLAR HERNİASYONU OLAN CHİARİ TİP I MALFORMASYONLU GEBE KADINLARIN DOĞUM ŞEKLİ NE OLMALIDIR: OLGU SUNUMU

Chiari tip I malformasyonu; serebellar herniasyon ile karakterize magnetik resonans görüntüleme ile tanı konulabilen konjenital bir anomalidir. En sık görülen semptomlar; baş, boyun ve extremite ağrısı, özellikle üst ekstremitelerde görülen hipoestezi ve güçsüzlüktür. Chiari tip I malformasyonlu gebe kadınlar için uygun doğum ve anestezi yöntemi hala tartışmalıdır. Biz bu makalede genel anestezi altında sezeryan ile doğurttuğumuz Chiari tip I malformasyonlu, ileri derecede serebellar herniasyonu olan bir olguyu sunduk. Multidisipliner bir yaklaşımla bu hastalar için uygun doğum ve anestezi yöntemini tartışmayı amaçladık

What Should be the Delivery Mode in Pregnant Women with Chiari Type I Malformation who have Severe Cerebellar Herniation : A Case Report

Chiari type I malformation which is characterized by cerebellar herniation is a congenital anomaly that can be diagnosed by magnetic resonance imaging. Most common symptoms are headache, neck and extremity pain, hypoesthesia and weakness especially in the upper extremities. The suitable mode of delivery and anesthesia for the pregnant patients with Chiari type I malformation is controversial. In this case report, we present a case of 37 weeks of gestation of a pregnant woman with Chiari type I malformation who had severe herniation of cerebellum and gave the birth by cesarean section with general anesthesia. We aimed to discuss about the suitable mode of delivery and anesthesia for each patient with Chiari type I malformation with multidisciplinary approach

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