Risk Incidence of epilepsy estimated to be 0.5–2.3%. 30–40% of pts with epilepsy will develop intractable seizures (>1/mo refractory to two or more medications). Approx 400,000 people in USA have medically uncontrolled epilepsy. Perioperative Risks Epilepsy has causality with a…
Risk 1:1000 live births Increased use of MRI leading to greater diagnosis Chiari malformation types I and II: Most common pediatric hindbrain abnormality Chiari type II always accompanied by myelomeningocele (which occurs in 0.6 of 1000 live births) Perioperative Risks…
Risk Arnold-Chiari malformation (Chiari Malformation type II or CMII) is found exclusively in pts with myelomeningocele. Myelomeningocele occurs in 0.6 of 1000 live births. Perioperative Risks Vocal cord paralysis Respiratory distress Apnea Neurogenic dysphagia and pulmonary aspiration Hydrocephalus and increased…
Case Synopsis A 33-year-old woman presents for a partial mastectomy and axillary lymph node biopsy. She has a history of seizure disorder well controlled on levetiracetam and mild asthma requiring occasional rescue with an albuterol inhaler. Her physical examination is…