Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Airway management of type-III arnold chiari malformation: An anaesthetic challenge

Airway management of type-III arnold chiari malformation: An anaesthetic challenge AbstractArnold Chiari malformation (ACM) is defined as protrusion of the meninges and brain components into a congenital defect in the cranium or in the vertebral column. It was originally described by Austrian pathologist Hans Chiari. Among the four types, type-III ACM is the rarest and may associate with encephalocele. We report a case of type-III ACM associated with large occipitomeningoencephalocele with herniation of dysmorphic cerebellum, vermis, kinking/herniation of medulla with cerebrospinal fluid, tethering of spinal cord with posterior arch defect of C1–C3 vertebrae. The anaesthetic challenge for such patients lies in the proper preoperative work up; proper positioning of the patient during intubation; safe anaesthetic induction; intraoperative management of intracranial pressure, normothermia, and fluid and blood loss; and postoperative planning of extubation to prevent aspiration are the prerequisites to overcome the dificult airway management and anaesthetic challenge in the management of type III ACM. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Romanian Journal of Anaesthesia and Intensive Care de Gruyter

Airway management of type-III arnold chiari malformation: An anaesthetic challenge

Loading next page...
 
/lp/de-gruyter/airway-management-of-type-iii-arnold-chiari-malformation-an-e0MWPujJMQ

References (13)

Publisher
de Gruyter
Copyright
© 2021 Panigrahy et al., published by Sciendo
eISSN
2502-0307
DOI
10.2478/rjaic-2021-0009
Publisher site
See Article on Publisher Site

Abstract

AbstractArnold Chiari malformation (ACM) is defined as protrusion of the meninges and brain components into a congenital defect in the cranium or in the vertebral column. It was originally described by Austrian pathologist Hans Chiari. Among the four types, type-III ACM is the rarest and may associate with encephalocele. We report a case of type-III ACM associated with large occipitomeningoencephalocele with herniation of dysmorphic cerebellum, vermis, kinking/herniation of medulla with cerebrospinal fluid, tethering of spinal cord with posterior arch defect of C1–C3 vertebrae. The anaesthetic challenge for such patients lies in the proper preoperative work up; proper positioning of the patient during intubation; safe anaesthetic induction; intraoperative management of intracranial pressure, normothermia, and fluid and blood loss; and postoperative planning of extubation to prevent aspiration are the prerequisites to overcome the dificult airway management and anaesthetic challenge in the management of type III ACM.

Journal

Romanian Journal of Anaesthesia and Intensive Carede Gruyter

Published: Dec 1, 2021

Keywords: Arnold Chiari malformation; occipitomeningoencephalocele; cerebellum

There are no references for this article.