Arnold Chiari Malformation

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 •