İLERİ DÜZEYDE SEREBELLAR HERNİASYONU OLAN CHİARİ TİP I MALFORMASYONLU GEBE KADINLARIN DOĞUM ŞEKLİ NE OLMALIDIR: OLGU SUNUMU What Should be the Delivery Mode in Pregnant Women with Chiari Type I Malformation who have Severe Cerebellar Herniation : A Case Report

Yıl 2016, Cilt: 6 Sayı: 2, 66 - 69, 19.12.2016

Keziban Doğan , Hakan Güraslan Nadire Sevda İdil Murat Doğan Ammar Kanawatı

Öz

Chiari tip I malformasyonu; serebellar herniasyon ile karakterize magnetik resonans görüntüleme

ile tanı konulabilen konjenital bir anomalidir. En sık görülen semptomlar; baş, boyun ve extremite

ağrısı, özellikle üst ekstremitelerde görülen hipoestezi ve güçsüzlüktür. Chiari tip I malformasyonlu

gebe kadınlar için uygun doğum ve anestezi yöntemi hala tartışmalıdır. Biz bu makalede genel

anestezi altında sezeryan ile doğurttuğumuz Chiari tip I malformasyonlu, ileri derecede serebellar

herniasyonu olan bir olguyu sunduk. Multidisipliner bir yaklaşımla bu hastalar için uygun doğum

ve anestezi yöntemini tartışmayı amaçladık.

ABSTRACT

Chiari type I malformation which is characterized by cerebellar herniation is a congenital anomaly

that can be diagnosed by magnetic resonance imaging. Most common symptoms are headache,

neck and extremity pain, hypoesthesia and weakness especially in the upper extremities. The

suitable mode of delivery and anesthesia for the pregnant patients with Chiari type I malformation

is controversial. In this case report, we present a case of 37 weeks of gestation of a pregnant

woman with Chiari type I malformation who had severe herniation of cerebellum and gave the

birth by cesarean section with general anesthesia. We aimed to discuss about the suitable mode

of delivery and anesthesia for each patient with Chiari type I malformation with multidisciplinary

approach.

Anahtar Kelimeler

Chiari tip I malformasyonu; Gebelik; Doğum

Kaynakça

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