072 – Arnold Chiari malformations

You receive a call from an obstetrician: "I have a term patient booked for induction of labour this morning. She had an MRI of her brain 4 years ago after a car accident and was told she has an Arnold-Chiari malformation. She is very keen to have an epidural - can she have one?"

Hi everyone,

This week Graeme is back and we sit down to discuss Arnold - Chiari malformations and having a baby - why all the fuss and controversy?

References

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

Management of parturients in active labor with Arnold Chiari malformation, tonsillar herniation, and syringomyelia

https://www.orphananesthesia.eu

Ghaly Chiari malformation decision guide - see article above