Nel M R, Robson V, Robinson P N
Department of Anaesthesia, Northwick Park Hospital, Harrow, Middlesex.
Br J Anaesth. 1998 Apr;80(4):512-5. doi: 10.1093/bja/80.4.512.
We describe elective Caesarean section performed under extradural anaesthesia in a parturient with symptomatic syringomyelia and coexisting Chiari type I anomaly. Syringomyelia is reviewed and the anaesthetic implications of the condition discussed. Anaesthesia should be directed primarily at avoidance of increased intracranial pressure, which can cause sudden deterioration in these patients.