Pregnancy and Chiari malformation
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Pregnancy and Chiari malformation. Most pregnancies and deliveries are uneventful. Fully referenced neurology checklist.
Vaginal delivery management
- Most pregnancies and deliveries are uneventful
- Vaginal delivery is recommended for asymptomatic women
- There may be transient postpartum worsening of neurological symptoms
Effects of pregnancy on Chiari malformation
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Indications for preterm delivery at 25 weeks
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Indication for Caesarean delivery
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Anaesthetic management
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Management of Chiari malformation in pregnancy
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Post-partum management of Chiari malformation
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References
- Bolognese PA, Kula RW, Onesti ST. Chiari I malformation and delivery. Surg Neurol Int 2017; 8:12.
- Garvey GP, Wasade VS, Murphy KE, Balki M. Anesthetic and obstetric management of syringomyelia during labor and delivery: a case series and systematic review. Anesth Analg 2017; 125:913-924.
- Mueller DM, Oro' J. Chiari I malformation with or without syringomyelia and pregnancy: case studies and review of the literature. Am J Perinatol 2005; 22:67-70.
- Parker JD, Broberg JC, Napolitano PG. Maternal Arnold-Chiari type I malformation and syringomyelia: a labor management dilemma. Am J Perinatol 2002; 19:445-450.
- Roper JC, Al Wattar BH, Silva AHD, Samarasekera S, Flint G, Pirie AM. Management and birth outcomes of pregnant women with Chiari malformations: a 14 years retrospective case series. Eur J Obstet Gynecol Reprod Biol 2018; 230:1-5.
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