Manajemen Anestesi pada Pasien dengan Malformasi Arnold-Chiari tipe I dan Siringomielia

  • Bhirowo Yudo Pratomo RSUP Dr. Sardjito Yogyakarta
  • Yunita Widyastuti Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)
  • Robby Mesakh Ngahu Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)
Keywords: Arnold–Chiari malformation, craniotomy, siringomielia

Abstract

Arnold–Chiari malformation (ACM) type I in syringomyelia patients can present with autonomic dysfunction.
Anesthesia management requires careful preoperative assessment, precise identification of potential problems, and appropriate planning. We present a case report of a 29 years-old woman diagnosed with ACM type I with siringomielia associated with autonomic dysfunction. The patient was underwent suboccipital decompressive craniotomy. Patient exhibited symptoms of weakness in her upper limbs since 3 years ago, unable to hold items, paresthesia, and gradually progressed loss of temperature and pain sensation. Routine preoperative investigation were within normal limits. After intubation, the patient was placed in prone position. Thus, patient had hypotension with tachycardia, managed with intravenous (IV) fluid and vassopressor. During surgery the patient experiences instability of hemodynamics profile.

Author Biographies

Bhirowo Yudo Pratomo, RSUP Dr. Sardjito Yogyakarta

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Yunita Widyastuti, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Robby Mesakh Ngahu, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Published
2019-08-01
How to Cite
Pratomo, B. Y., Widyastuti, Y., & Ngahu, R. M. (2019). Manajemen Anestesi pada Pasien dengan Malformasi Arnold-Chiari tipe I dan Siringomielia. Jurnal Komplikasi Anestesi, 6(3), 37-44. https://doi.org/10.22146/jka.v6i3.7361

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