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British Journal of Anaesthesia, Vol 80, Issue 4 512-515, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia

CASE REPORTS

Extradural anaesthesia for caesarean section in a patient with syringomyelia and Chiari type I anomaly

M. R. Nel, V. Robson and P. N. Robinson
Department of Anaesthesia, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ

We describe elective Caesarean section performed under extradural anaesthesia in a parturient with symptomatic syringomyelia and coexisting Chiari type I anomaly. Syringomyelia is reviewed and the anaesthetic implications of the condition discussed. Anaesthesia should be directed primarily at avoidance of increased intracranial pressure, which can cause sudden deterioration in these patients.
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