Is spinal block safe for cesarean delivery? – a case report of a patient with uncorrected type 1 Chiari malformation

Authors

  • Caroline Sobral Dahlem Centro Hospitalar Vila Nova de Gaia / Espinho http://orcid.org/0000-0003-2928-4425
  • Ana Isabel Pereira Centro Hospitalar Vila Nova de Gaia / Espinho
  • Tiago Vaz Gomes Centro Hospitalar Vila Nova de Gaia / Espinho

DOI:

https://doi.org/10.25751/rspa.9394

Keywords:

Anesthesia, Obstetrical, Spinal, Arnold-Chiari Malformation, Caesarean Section

Abstract

Type 1 Chiari malformation is a downward displacement of the cerebellar tonsils with hindbrain overcrowding. The clinical picture is highly variable and their obstetric and anesthetic management is not consensual. We report the case of a patient with uncorrected type 1 Chiari malformation presenting for elective cesarean delivery in whom a spinal block was performed. Anesthesia and surgery were uneventful. Mother’s sole complaint was neck stiffness which was solved after 3 days. Literature is scarce reporting only 2 previous uncorrected type 1 Chiari malformation patients being submitted to spinal anesthesia for cesarean delivery. The safety of spinal anesthesia for this scenario is discussed.

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Author Biographies

Caroline Sobral Dahlem, Centro Hospitalar Vila Nova de Gaia / Espinho

Interna de Formação Específica de Anestesiologia

Ana Isabel Pereira, Centro Hospitalar Vila Nova de Gaia / Espinho

Assistente Hospitalar de Anestesiologia

Tiago Vaz Gomes, Centro Hospitalar Vila Nova de Gaia / Espinho

Assistente Hospitalar de Anestesiologia

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Published

2017-01-17

How to Cite

Dahlem, C. S., Pereira, A. I., & Gomes, T. V. (2017). Is spinal block safe for cesarean delivery? – a case report of a patient with uncorrected type 1 Chiari malformation. Journal of the Portuguese Society of Anesthesiology, 25(4), 127–129. https://doi.org/10.25751/rspa.9394

Issue

Vol. 25 No. 4 (2016): Journal of the Portuguese Society of Anesthesiology

Section

Case Report

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