Anesthetic management of a patient with syringomyelia and Arnold-Chiari malformation type I with autonomic dysfunction

Abstract

Arnold–Chiari malformation (ACM) type I with syringomyelia patients can present with autonomic
dysfunction. Anesthesia management requires careful preoperative assessment, identification of potential
problems and appropriate planning. We present a case report of a
29- years female diagnosed as ACM Type I with syrinngomyelia associated with autonomic dysfunction
was operated for foramen magnum decompression. Glidescope was used for intubation to prevent
neurological damage associated with neck movement. After placing in prone position patient had
hypotension with tachycardia. Supine position was immediately resumed; managed with intravenous
(IV) fluid and vassopressure. Patient was again placed in prone position after normalization of blood
pressure. Her postoperative period was uneventful.