Anesthetic Considerations In A Laboring Parturient With Arnold-chiari Type 1 Malformation
A 33-year old G1P0 at 37 weeks gestational age with history of Arnold-Chiari Malformation Type 1 (ACM-1) presented to the L&D unit with rupture of membranes and frequent contractions. Imaging 5 months prior to presentation demonstrated a 6mm cerebellar protrusion from the foramen magnum. After discussion with Maternal Fetal Medicine, a combined spinal-epidural was performed and patient had an uneventful spontaneous vaginal delivery. She had no neurologic symptoms and was discharged home two days later. In this presentation we will discuss the various anesthetic and analgesic considerations management of labor and delivery of parturients with ACM-1.
Ahmed R, Lau S, Vahabzadeh V. Anesthetic considerations in a laboring parturient with Arnold-Chiari type 1 malformation. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.