Anesthetic management of a child with Arnold-Chiari malformation and Klippel-Feil syndrome

2006 ◽  
Vol 16 (3) ◽  
pp. 355-356 ◽  
Author(s):  
Ozlem S. Cakmakkaya ◽  
Guner Kaya ◽  
Fatis Altintas ◽  
Mefkur Bakan ◽  
Abdullah Yildirim
Keyword(s):  
Chiari Malformation ◽  
Anesthetic Management ◽  
Arnold Chiari Malformation

Anesthetic management of parturients with Arnold Chiari malformation-I: a multicenter retrospective study

2019 ◽  
Vol 37 ◽  
pp. 52-56 ◽  
Author(s):  
T.R. Gruffi ◽  
F.M. Peralta ◽  
M.S. Thakkar ◽  
A. Arif ◽  
R.F. Anderson ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Chiari Malformation ◽  
Anesthetic Management ◽  
Arnold Chiari Malformation

scholarly journals Intravenous Sedation in Arnold-Chiari Malformation With Respiratory Failure

2019 ◽  
Vol 66 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Yoshiki Shionoya ◽  
Eishi Nakamura ◽  
Takahiro Goi ◽  
Kiminari Nakamura ◽  
Katsuhisa Sunada
Keyword(s):  
Respiratory Failure ◽  
Respiratory Depression ◽  
Chiari Malformation ◽  
Dental Treatment ◽  
Anesthetic Management ◽  
Cranial Nerves ◽  
Intravenous Sedation ◽  
Type Ii ◽  
Neck Extension ◽  
Arnold Chiari Malformation

Type II Arnold-Chiari malformation (ACM) is an abnormality in which the cerebellum, pons, and medulla oblongata are displaced downward into the spinal cord. Type II ACM is often complicated by respiratory depression, sleep-disordered breathing, and deglutition disorder as a result of medullary dysfunction and impairment of the lower cranial nerves. Bending and stretching of the neck is restricted, and anesthetic management is problematic in patients with the disorder. We performed dental treatment twice under intravenous sedation in a patient with intellectual disability with type II ACM complicated by hypercapnic respiratory failure. Propofol was used for the first sedation procedure. Repeated bouts of respiratory depression occurred on that occasion, so the airway was managed manually by lifting the jaw. However, aspiration pneumonitis occurred postoperatively. A combination of dexmedetomidine and midazolam was used for sedation on the second occasion, and the intervention was completed uneventfully without any respiratory depression. Our experience with this patient highlights the need for selection of an agent for intravenous sedation that does not require neck extension and has minimal effect on respiration in patients with type II ACM, who are at high risk of respiratory depression and pulmonary aspiration.

scholarly journals Anesthetic Management "Arnold Chiari Malformation" in the well-known Case of Cystic Fibrosis

2020 ◽  
Vol 7 (4) ◽  
pp. 216-218
Author(s):  
Gholamreza Mohseni ◽  
Faranak Behnaz ◽  
Houman Teymourian ◽  
Saeed Oraee Yazdani
Keyword(s):  
Cystic Fibrosis ◽  
Chiari Malformation ◽  
Anesthetic Management ◽  
Arnold Chiari Malformation

Anesthetic Management of Parturients With Arnold Chiari Malformation-I

2019 ◽  
Vol 39 (4) ◽  
pp. 197
Author(s):  
T.R. Gruffi ◽  
F.M. Peralta ◽  
M.S. Thakkar ◽  
A. Arif ◽  
R.F. Anderson ◽  
...  
Keyword(s):  
Chiari Malformation ◽  
Anesthetic Management ◽  
Arnold Chiari Malformation

Migräne? Arnold-Chiari-Malformation? Oder doch einfach nur eine Migräne?

Praxis ◽  
2020 ◽  
Vol 109 (10) ◽  
pp. 806-811
Author(s):  
Kristian Jäckel ◽  
Beat Knechtle
Keyword(s):  
Chiari Malformation ◽  
Arnold Chiari Malformation

Zusammenfassung. Zusammenfassung: Bei einer jungen Frau mit langjährigen Kopfschmerzen im Sinne einer Migräne ergab eine neurologische Neubeurteilung inklusive neuer Befundung der vorhandenen MRI-Bilder des Schädels die Diagnose einer Chiari-Malformation vom Typ 1. Nach erfolgreicher Operation des Befundes gingen die Kopfschmerzen deutlich zurück. Da aber noch geringe Kopfschmerzen einer anderen Qualität bestehen blieben, ist davon auszugehen, dass eine Migräne sowie als Zufallsbefund die Malformation vorliegen.

Eine neonatale cleidocraniale Dysplasie mit einer Arnold-Chiari Malformation

2007 ◽  
Vol 211 (S 1) ◽  
Author(s):  
A Wacker ◽  
M Moll ◽  
A Dufke ◽  
BE Will ◽  
C Poets ◽  
...  
Keyword(s):  
Chiari Malformation ◽  
Arnold Chiari Malformation
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