دورية أكاديمية
Chiari malformation type I in pregnant women, case report ; Malformación de Chiari tipo I en una embarazada. Reporte de caso
| العنوان: | Chiari malformation type I in pregnant women, case report ; Malformación de Chiari tipo I en una embarazada. Reporte de caso |
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| المؤلفون: | Hoyos Guerrero D.M., Aragón Mendoza R.L., Hernández Restrepo M., Alba Romero E.A. |
| المصدر: | Universidad de La Sabana ; Intellectum Repositorio Universidad de La Sabana |
| بيانات النشر: | Ginecologia y Obstetricia de Mexico |
| سنة النشر: | 2023 |
| المجموعة: | Repositorio Universidad de La Sabana |
| مصطلحات موضوعية: | Adult, Arnold chiari malformation, Article, Case report, Cesarean section, Clinical article, Congenital malformation |
| الوصف: | 5 páginas ; BACKGROUND: Chiari malformation is a rare congenital or acquired neurological disorder, characterized by the displacement of the rhombencephalic structures towards the spinal canal below the level of the foramen magnum; The frequency and progression that can occur during pregnancy are unknown, since there are changes during labor that can predispose to brainstem herniation with spinal cord compression; which poses a therapeutic challenge since there are no unified recommendations about the moment of delivery, delivery route and the best anesthetic technique in these patients CLINICAL CASE: A 24-year-old patient, G1P0 with a 34-week pregnancy, consulted the emergency room of the Hospital Universitario de la Samaritana, due to a clinical profile of headache with warning signs; to the study of cerebral magnetic resonance with a finding of Chiari type I malformation. In order to limit the Valsalva maneuvers during labor, a caesarean section was performed at term under neuraxial anesthesia without complications with a healthy newborn. CONCLUSION: Chiari malformation type I during pregnancy is rare. Patients diagnosed prior to pregnancy condition a follow-up in which the indication for neurosurgical treatment prior to conception is assessed. During pregnancy, no single method of termination or anaesthesia can be recommended and medical care should be provided by a multidisciplinary team formulating an individualized care plan to improve maternal and fetal outcome. © 2023 Asociacion Mexicana de Ginecologia y Obstetricia. All rights reserved. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | Ginecologia y Obstetricia de Mexico 91 (2), 133-139; Hoyos-Guerrero, D.M., Aragón-Mendoza, R.L., Hernández-Restrepo, M., Alba-Romero, E.A. Chiari malformation type I in pregnant women, case report [Article@Malformación de Chiari tipo I en una embarazada. Reporte de caso] (2023) Ginecologia y Obstetricia de Mexico, 91 (2), pp. 133-139; https://www.scopus.com/inward/record.uri?eid=2-s2.0-85164933987&doi=10.24245%2fgom.v91i2.7591&partnerID=40&md5=9d4b519cd77d2aab2695316882c13cddTest; http://hdl.handle.net/10818/59832Test |
| DOI: | 10.24245/gom.v91i2.7591 |
| الإتاحة: | https://doi.org/10.24245/gom.v91i2.7591Test http://hdl.handle.net/10818/59832Test |
| حقوق: | Attribution-NonCommercial-NoDerivatives 4.0 International ; http://creativecommons.org/licenses/by-nc-nd/4.0Test/ ; openAccess |
| رقم الانضمام: | edsbas.AAC26D02 |
| قاعدة البيانات: | BASE |
| DOI: | 10.24245/gom.v91i2.7591 |
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