Anesthetic Considerations in A Case of Arnold Chairi Malformation Type II
Volume 1 - Issue 2
Bhavna Gupta* and Anshul Goyal
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- Department of anaesthesia and critical care, Maulana Azad Medical College, New Delhi, India
*Corresponding author:
Bhavna Gupta, Department of anaesthesia and critical care, Maulana Azad Medical College, Lok nayak hospital, New Delhi, India
Received: February 07, 2019; Published: February 21, 2019
DOI: 10.32474/GJAPM.2018.01.000106
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Abstract
Arnold chiari malformation (ACM) Type II is a developmental abnormality of the brainstem and cerebellar tonsil, medulla and
protrusion of 4th ventricle into cervical spinal canal. To best of our knowledge, there is paucity of literature regarding anesthetic
management of cases with ACM type II. The anesthetic concerns with general anesthesia are related to the risk of autonomic
dysfunction, difficult airway management, damage to the spinal cord and sensitivity to neuromuscular blocking agents. There is risk
of increasing intracranial pressure and brainstem compression or herniation leading to hemodynamic and respiratory compromise,
due to presence of meningomyelocoele, syringohydromyelia and tethered spinal cord.
Keywords: Balloon occluded arterial infusion; Bladder cancer; Cisplatin; Neuropathy; Spinal Anesthesia; Transurethral resection
of a bladder tumor
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