Keziban DOĞAN

What should be the delivery mode a pregnant women with Chiari type I malformation who has severe cerebellar herniation : a case report

AbstractChiari 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 paper, 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 .Key words: Chiari type I malformation, pregnancy, delivery mode, anesthesia İleri düzeyde serebellar herniasyonu olan Chiari tip I malformasyonlu gebe bir kadının doğum şekli ne olmalıdır: Olgu sunumuÖzetChiari 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.Anahtar kelimeler: Chiari tip I malformasyonu, gebelik, doğum şekli, anestezi yöntemi

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