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Anestesia Untuk Operasi Syringomyella C2-7 Dengan Penyulit Obesitas Dan Diabetes Mellitus Tipe II Anesthesia For C2-7 Syringomyelia Surgery With Comorbid Obesity And Diabetes Mellitus Type II

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Syringomyelia refers to the cystic cavitation of the spinal cord. Two main forms of syringomyelia have been described: communicating syringomyelia and non communicating syringomyelia. In communicating syringomyelia, there is primary dilatation of the central canaI that is otten associated with ebnotmetiiies at the foramen magnum such as ton sillar herniation (Chiari malformation) and basal arachnoiditis. In non communicating syringomyelia, a cyst arieses with in the cord substance itself and does not communicate with the central canaI or subarachnoid space. This patients is clasified as cdlnmunicating syringomyelia due to Chiari malformation. Obesity and diabetes mellitus type II as comorbid in this case. The surgery was done under general anesthesia, prone position uneventfull.
Keywords: Anesthesia, Arnold Chiari Malformation, diabetes mellitus, obesity, syringomielya
Abstrak
Syringomyelia adalah kista pada medulla spinalis. Ada dua bentuk utama dari syringomyelia yaitu communicetinq syringomyelia dan non communicating syringomyelia. Communicating syringomyelia adalah dilatasi primer dari kanalis sentralis dan sering berhubungan dengan abnormalitas pada foramen magnum, misal herniasi tonsillar (Chiari Malformasi) dan arachnoiditis basal. Non communicating syringomyelia, kista berasal dari medulla spinalis dan tidak berhubungan dengan kanalis sentralis atau ruang subarachnoid. Pasien ini termasuk golongan communicating syringomyelia karena adanya Chiari malformasi. Obesitas dan diabetes mellitus tipe II sebagai comorbid. Operasi dilakukan dengan anestesi umum dalam posisi prone.
Kata Kunci: Anestesia, Arnold Chiari Malformasi, diabetes mellitus, obesitas, syringomielia

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Jurnal Neuroanestesia Indonesia, 1 (1) 2012 : 32-4

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Bandung : Indonesian Society of Neuroanesthesia & Critical Care INA_SNACC., 2012

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7p

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2088-9670

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