<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412022000800682</article-id>
<article-id pub-id-type="doi">10.24245/gom.v90i8.4092</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Malformación de Arnold Chiari tipo 1 en embarazada, reporte de caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Case Report: Arnold Chiari type 1 malformation in pregnant women.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Luna]]></surname>
<given-names><![CDATA[Daria Irina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Benítez]]></surname>
<given-names><![CDATA[Carlos Quesnel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaime-Córdova]]></surname>
<given-names><![CDATA[Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Aguilar]]></surname>
<given-names><![CDATA[Dulce Miriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles Interlomas  ]]></institution>
<addr-line><![CDATA[Huixquilucan Estado de México]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Interlomas  ]]></institution>
<addr-line><![CDATA[Huixquilucan Estado de México]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>8</numero>
<fpage>682</fpage>
<lpage>687</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412022000800682&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412022000800682&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412022000800682&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: La enfermedad de Arnold-Chiari es una malformación congénita rara del sistema nervioso central, caracterizada por el descenso del cerebelo por debajo de 5 mm del nivel del foramen magno, con o sin siringomielia asociada (tipos I o II). La edad media a la que se detecta la enfermedad tipo I son los 40 años. Es más frecuente en mujeres con una relación 3:1. Sus manifestaciones son: cefalea occipital (70-90%), dolor neuropático de segmentos cervicales (40-70%); hiperreflexia de extremidades inferiores (51%); atrofia de manos (35%) y paresias de extremidades superiores (35%) e inferiores (17%). El diagnóstico se establece con base en la resonancia magnética.  OBJETIVO: Analizar el comportamiento anestésico-obstétrico en una paciente embarazada y el riesgo de complicaciones derivadas de los cambios fisiológicos y de la gestación.  CASO CLÍNICO: Paciente de 30 años, con 38 semanas de embarazo y diagnóstico de enfermedad de Arnold-Chiari tipo I, con adecuado control neurológico y obstétrico y evolución satisfactoria. El embarazo finalizó por parto.  CONCLUSIONES: La atención médica a la paciente del caso fue adecuada porque no se registraron complicaciones y fue posible darle el alta del hospital en muy poco tiempo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Arnold-Chiari disease is a rare congenital malformation of the central nervous system, characterized by descent of the cerebellum below 5 mm from the level of the foramen magnum, with or without associated syringomyelia (types I or II). The average age at which type I disease is detected is 40 years. It is more frequent in women with a 3:1 ratio. Its manifestations are occipital headache (70-90%), neuropathic pain of cervical segments (40-70%); hyperreflexia of lower extremities (51%); atrophy of hands (35%) and paresis of upper (35%) and lower extremities (17%). Diagnosis is established based on magnetic resonance imaging.  OBJECTIVE: To analyze the anesthetic-obstetric behavior in a pregnant patient and the risk of complications derived from physiological and gestational changes.  CLINICAL CASE: 30-year-old patient, 38 weeks pregnant and diagnosed with Arnold-Chiari disease type I, with adequate neurological and obstetric control and satisfactory evolution. The pregnancy was terminated by delivery.  CONCLUSIONS: The medical care of the patient in the case was adequate because no complications were recorded, and it was possible to discharge her from the hospital in a very short time.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Arnold Chiari]]></kwd>
<kwd lng="es"><![CDATA[trabajo de parto]]></kwd>
<kwd lng="es"><![CDATA[bloqueo epidural]]></kwd>
<kwd lng="en"><![CDATA[Arnold Chiari]]></kwd>
<kwd lng="en"><![CDATA[Central Nervous System]]></kwd>
<kwd lng="en"><![CDATA[Labor]]></kwd>
<kwd lng="en"><![CDATA[Epidural anesthesia]]></kwd>
</kwd-group>
</article-meta>
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