对一名患有Chiari I畸形和颅颈异常的病态肥胖患者进行腹腔镜胆囊切除术。

Laparoscopic cholecystectomy in a morbidly obese patient with Chiari I malformation and craniocervical anomalies.

作者信息

Rewari Vimi, Singh Shweta, Trikha Anjan

机构信息

Department of Anaesthesiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029, India.

出版信息

J Clin Anesth. 2008 Aug;20(5):372-375. doi: 10.1016/j.jclinane.2007.12.016.

DOI:10.1016/j.jclinane.2007.12.016

PMID:18761247

Abstract

Chiari I malformation is the downward herniation of cerebellar tonsils through the foramen magnum, and is frequently associated with craniocervical anomalies. Laparoscopic surgery can cause an increase in intracranial pressure due to the obstruction of the foramen magnum. The successful administration of general anesthesia in a 50-year-old, morbidly obese woman with a difficult airway, scheduled for laparoscopic cholecystectomy, who was incidentally diagnosed with Chiari I malformation associated with craniocervical anomalies, is presented.

摘要

Chiari I畸形是小脑扁桃体经枕骨大孔向下疝出，常与颅颈交界区异常相关。腹腔镜手术可因枕骨大孔阻塞导致颅内压升高。本文介绍了一例50岁、病态肥胖、气道困难且计划行腹腔镜胆囊切除术的女性患者，该患者偶然被诊断为伴有颅颈交界区异常的Chiari I畸形，成功实施了全身麻醉。