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Arnold chiari malformation

• It’s one of the chiari malformation it’s type II


• associated with myelomeningocele
• present for posterior fossa decompression and repair of myelomeningocele and
insertion of shunt
• on of the main issue is position during induction due to myelomeningocele,
may put a donut where the defect is in the hall, if big may have to the induction
in lateral position then turn prone
A→ potential difficult airway, due to hydrocephalus → awake intubation
B→ vocal cords paralysis→ trach, resp depression due to post fossa compression
C→ bradycardia
CNS → the defects, and CN palsy
• position as above

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