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Arnold Chiari malformations (ACM) are a group of anomalies with herniation of the cerebellum through the foramen magnum and downward displacement of the pons and the medulla. ACM type I (ACM-I) presents typically in adulthood with headache, pain in the neck and upper extremities, and other neurological features suggestive of increased intracranial pressure (ICP) and syringomyelia. Owing to paucity of the literature of ACM in pregnancy, no firm recommendations regarding management of labor and analgesia/anesthesia are available [1]. We describe a successful pregnancy outcome in a woman whose progressive symptoms of ACM were halted by surgical decompression in the second trimester of pregnancy.

A Successful Pregnancy Outcome After Antenatal Surgical Decompression of Arnold Chiari Malformation