Anaesthetic management of infant with occipital encephalocele associated with Arnold Chiari III malformation - A Case Report
Children with occipital meningoencephalocele associated with Arnold–Chiari III malformation present unique challenges to anesthesiologists. Meningoencephalocele is a congenital anomaly wherein meninges, brain, and cerebrospinal fluid (CSF) are herniated through defect in the skull. Challenges to ane...
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Wolters Kluwer Medknow Publications
2025-01-01
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Series: | MRIMS Journal of Health Sciences |
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Online Access: | https://journals.lww.com/10.4103/mjhs.mjhs_69_24 |
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author | Vandana Patilbuwa Pakhare K. Naga Sri Sowmya Mohammed Mohsin Ali Reshma Sultana Doli Suresh Chander |
author_facet | Vandana Patilbuwa Pakhare K. Naga Sri Sowmya Mohammed Mohsin Ali Reshma Sultana Doli Suresh Chander |
author_sort | Vandana Patilbuwa Pakhare |
collection | DOAJ |
description | Children with occipital meningoencephalocele associated with Arnold–Chiari III malformation present unique challenges to anesthesiologists. Meningoencephalocele is a congenital anomaly wherein meninges, brain, and cerebrospinal fluid (CSF) are herniated through defect in the skull. Challenges to anesthesiologists include difficult airway, latex allergy, bleeding, CSF loss, and autonomic disturbances. Here, we report a late case of a 9-month-old male child with occipital encephalocele associated with Arnold–Chiari III malformation. The child underwent surgical correction under general anesthesia without any adverse event. The anticipated difficult airway was secured with prior planning and teamwork. Multidisciplinary care and careful planning are essential to safeguard the perioperative outcomes for patients with meningoencephalocele wherein difficult airway, blood loss, autonomic dysfunction, and perioperative hypothermia are major concerns. |
format | Article |
id | doaj-art-00c75b43a0b2498683e33b43dbe0b49f |
institution | Kabale University |
issn | 2321-7006 2321-7294 |
language | English |
publishDate | 2025-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | MRIMS Journal of Health Sciences |
spelling | doaj-art-00c75b43a0b2498683e33b43dbe0b49f2025-02-06T07:21:29ZengWolters Kluwer Medknow PublicationsMRIMS Journal of Health Sciences2321-70062321-72942025-01-01131394210.4103/mjhs.mjhs_69_24Anaesthetic management of infant with occipital encephalocele associated with Arnold Chiari III malformation - A Case ReportVandana Patilbuwa PakhareK. Naga Sri SowmyaMohammed Mohsin AliReshma SultanaDoli Suresh ChanderChildren with occipital meningoencephalocele associated with Arnold–Chiari III malformation present unique challenges to anesthesiologists. Meningoencephalocele is a congenital anomaly wherein meninges, brain, and cerebrospinal fluid (CSF) are herniated through defect in the skull. Challenges to anesthesiologists include difficult airway, latex allergy, bleeding, CSF loss, and autonomic disturbances. Here, we report a late case of a 9-month-old male child with occipital encephalocele associated with Arnold–Chiari III malformation. The child underwent surgical correction under general anesthesia without any adverse event. The anticipated difficult airway was secured with prior planning and teamwork. Multidisciplinary care and careful planning are essential to safeguard the perioperative outcomes for patients with meningoencephalocele wherein difficult airway, blood loss, autonomic dysfunction, and perioperative hypothermia are major concerns.https://journals.lww.com/10.4103/mjhs.mjhs_69_24arnold–chiaricase reportlatex allergymeningesoccipital encephalocele |
spellingShingle | Vandana Patilbuwa Pakhare K. Naga Sri Sowmya Mohammed Mohsin Ali Reshma Sultana Doli Suresh Chander Anaesthetic management of infant with occipital encephalocele associated with Arnold Chiari III malformation - A Case Report MRIMS Journal of Health Sciences arnold–chiari case report latex allergy meninges occipital encephalocele |
title | Anaesthetic management of infant with occipital encephalocele associated with Arnold Chiari III malformation - A Case Report |
title_full | Anaesthetic management of infant with occipital encephalocele associated with Arnold Chiari III malformation - A Case Report |
title_fullStr | Anaesthetic management of infant with occipital encephalocele associated with Arnold Chiari III malformation - A Case Report |
title_full_unstemmed | Anaesthetic management of infant with occipital encephalocele associated with Arnold Chiari III malformation - A Case Report |
title_short | Anaesthetic management of infant with occipital encephalocele associated with Arnold Chiari III malformation - A Case Report |
title_sort | anaesthetic management of infant with occipital encephalocele associated with arnold chiari iii malformation a case report |
topic | arnold–chiari case report latex allergy meninges occipital encephalocele |
url | https://journals.lww.com/10.4103/mjhs.mjhs_69_24 |
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