Anaesthetic Management Of Caesarean Section In A Patient With Syringomyelia.

Abstract

We describe the case of a 32 year old primiparous woman with syringomyelia and Arnold-Chiari type I malformation who presented in early labour at 37 weeks gestation. She was delivered by caesarean section performed under general anaesthesia with a remifentanil infusion. There was no intra-operative complication or neurological deterioration post-operatively. We discuss the anaesthetic implications of this disease in pregnancy and focus on the advantages of using a remifentanil infusion as part of a general anaesthetic technique