Opoku Albert Adu, Mathew Gisha Varghese, Thode A, Noureddine K
Al Wakra Hospital, Hamad Medical Corporation, P. O Box 82228, Al Wakra, Qatar.
Weill Cornell Medicine, P. O Box 24144, Doha, Qatar.
Case Rep Womens Health. 2021 Jun 19;31:e00337. doi: 10.1016/j.crwh.2021.e00337. eCollection 2021 Jul.
A 30-year-old woman (gravida 3, para 1 + 1), with a previous uncomplicated pregnancy and vaginal delivery, was diagnosed with both type 1 Arnold-Chiari malformation and symptomatic multi-level lumbar disc prolapse in her inter-pregnancy period. During this index pregnancy, she experienced progressively worsening occipital headaches radiating to both arms, severe low back pain radiating to both legs and weakness in both legs. She had no urinary or bowel symptoms. She was successfully managed through pregnancy by a multidisciplinary team that included obstetricians, orthopedic and neurosurgeons, obstetric anesthetists and physiotherapists. She had an uncomplicated cesarean delivery under spinal anesthesia. As far as we can tell, this is the first report of both conditions in a pregnant woman.
一名30岁女性（孕3产1+1），既往妊娠及阴道分娩均顺利，在两次妊娠间隔期被诊断为1型阿诺德-奇亚里畸形和有症状的多节段腰椎间盘突出症。在本次妊娠期间，她出现枕部头痛逐渐加重并放射至双臂、严重腰痛放射至双腿以及双腿无力。她没有泌尿或肠道症状。由产科医生、骨科和神经外科医生、产科麻醉师和物理治疗师组成的多学科团队成功地对她进行了孕期管理。她在脊髓麻醉下进行了一次顺利的剖宫产。据我们所知，这是首次关于一名孕妇同时患有这两种疾病的报告。
