Key result
Multidisciplinary management and cesarean delivery under spinal anesthesia resulted in an uncomplicated delivery for a pregnant woman with Arnold-Chiari malformation and lumbar disc prolapse.
Case Report (n=1)
This case report demonstrates the successful multidisciplinary management and spinal anesthesia for cesarean delivery in a pregnant woman with both type 1 Arnold-Chiari malformation and significant lumbar disc prolapse.
A 30-year-old woman (gravida 3, para 1 + 1), with a previous uncomplicated pregnancy and vaginal delivery, was diagnosed with both type 1 Arnold-Chiari malformation and symptomatic multi-level lumbar disc prolapse in her inter-pregnancy period. During this index pregnancy, she experienced progressively worsening occipital headaches radiating to both arms, severe low back pain radiating to both legs and weakness in both legs. She had no urinary or bowel symptoms. She was successfully managed through pregnancy by a multidisciplinary team that included obstetricians, orthopedic and neurosurgeons, obstetric anesthetists and physiotherapists. She had an uncomplicated cesarean delivery under spinal anesthesia. As far as we can tell, this is the first report of both conditions in a pregnant woman.
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Opoku et al. (2021) conducted a case report in Type 1 Arnold-Chiari malformation and symptomatic multi-level lumbar disc prolapse in pregnancy (n=1). Multidisciplinary management and cesarean delivery under spinal anesthesia was evaluated on Maternal and fetal outcome. Multidisciplinary management and cesarean delivery under spinal anesthesia resulted in an uncomplicated delivery for a pregnant woman with Arnold-Chiari malformation and lumbar disc prolapse.
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