TY - JOUR
T1 - Chiari I malformation in parturients
AU - Chantigian, Robert C.
AU - Koehn, Monica A.
AU - Ramin, Kirk D.
AU - Warner, Mark A.
PY - 2002
Y1 - 2002
N2 - Study Objective: To assess complications of regional as well as general anesthesia in parturients with Chiari I malformation. Design: Retrospective chart review. Setting: Academic medical center. Patients: All parturients in our institution who had the diagnosis of Chiari I malformation and delivered in our hospitals over a 50-year period. Main Results: 12 parturients delivered 30 babies. Three deliveries were facilitated with general anesthesia. Nine deliveries were facilitated with central axis anesthesia, six with epidural anesthesia, two with a single injection of a spinal anesthetic, and one with a continuous spinal catheter. The patient who received a continuous spinal catheter developed a postdural puncture headache that resolved with an epidural blood patch. None of the patients who received general, spinal, or epidural anesthesia for their deliveries developed symptoms or had exacerbation of preexisting symptoms of Chiari I malformation. Conclusions: General anesthesia, as well as spinal and epidural anesthesia, appeared to be safe and effective in our series of vaginal or cesarean delivery patients. The small number of patients in our series does not negate the cautious recommendations of others, but suggests that general anesthesia, as well as spinal or epidural anesthesia, can be used safely and effectively in these patients.
AB - Study Objective: To assess complications of regional as well as general anesthesia in parturients with Chiari I malformation. Design: Retrospective chart review. Setting: Academic medical center. Patients: All parturients in our institution who had the diagnosis of Chiari I malformation and delivered in our hospitals over a 50-year period. Main Results: 12 parturients delivered 30 babies. Three deliveries were facilitated with general anesthesia. Nine deliveries were facilitated with central axis anesthesia, six with epidural anesthesia, two with a single injection of a spinal anesthetic, and one with a continuous spinal catheter. The patient who received a continuous spinal catheter developed a postdural puncture headache that resolved with an epidural blood patch. None of the patients who received general, spinal, or epidural anesthesia for their deliveries developed symptoms or had exacerbation of preexisting symptoms of Chiari I malformation. Conclusions: General anesthesia, as well as spinal and epidural anesthesia, appeared to be safe and effective in our series of vaginal or cesarean delivery patients. The small number of patients in our series does not negate the cautious recommendations of others, but suggests that general anesthesia, as well as spinal or epidural anesthesia, can be used safely and effectively in these patients.
KW - Anesthetic complications
KW - Neurologic anomalies
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U2 - 10.1016/S0952-8180(02)00342-2
DO - 10.1016/S0952-8180(02)00342-2
M3 - Article
C2 - 12031753
AN - SCOPUS:0035987587
SN - 0952-8180
VL - 14
SP - 201
EP - 205
JO - Journal of Clinical Anesthesia
JF - Journal of Clinical Anesthesia
IS - 3
ER -