The Arnold Chiari malformation (ACM) is a congenital anomaly of the hindbrain. It is characterized by downward displacement of brains tern and cerebellum to the cervical spinal canal. ACM may show head and limb pains, vertigo, hypoesthesia, weakness in the extremities. Anesthetic management of cesarean surgery with Arnold-Chiari type I malformation poses a difficult challenge for the anesthesiologist Measurement of intracranial pressure at the operations in these patients is an important measure thus precautions should be taken for avoidance of increased intracranial pressure. The increase in intracranial pressure can be detrimental to the mother and fetus. The patient was a 33 years old and 38 weeks pregnant women who presented repeat cesarean surgery with ACM-II. On examination, there was no neurological deficit. In this case report, we discussed the anesthetic management of a caesarean section with ACM who underwent an elective caesarean section
Key Words: Arnold-Chiari Malformation; General Anesthesia; Pregnancy.
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