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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Main Authors: Vandana Patilbuwa Pakhare, K. Naga Sri Sowmya, Mohammed Mohsin Ali, Reshma Sultana, Doli Suresh Chander
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:MRIMS Journal of Health Sciences
Subjects:
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.
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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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AT knagasrisowmya anaestheticmanagementofinfantwithoccipitalencephaloceleassociatedwitharnoldchiariiiimalformationacasereport
AT mohammedmohsinali anaestheticmanagementofinfantwithoccipitalencephaloceleassociatedwitharnoldchiariiiimalformationacasereport
AT reshmasultana anaestheticmanagementofinfantwithoccipitalencephaloceleassociatedwitharnoldchiariiiimalformationacasereport
AT dolisureshchander anaestheticmanagementofinfantwithoccipitalencephaloceleassociatedwitharnoldchiariiiimalformationacasereport