morphine and Vocal-Cord-Paralysis

Meconium staining of open myelomeningoceles has been reported to occur both prenatally and postnatally, but meconium staining of the brainstem has not been previously documented. The authors present a case of meconium staining of the brainstem in an infant with a meconium-stained myelomeningocele, Chiari malformation Type II, and hydrocephalus and discuss possible implications for prenatal and perinatal care.

Topics: Arnold-Chiari Malformation; Brain Stem; Cervical Vertebrae; Decompression, Surgical; Enteral Nutrition; Gastrostomy; Humans; Hydrocephalus; Infant, Newborn; Laminectomy; Laryngoscopy; Magnetic Resonance Imaging; Male; Meconium; Medulla Oblongata; Meningomyelocele; Respiration, Artificial; Respiratory Paralysis; Syringomyelia; Tracheostomy; Ventriculoperitoneal Shunt; Vocal Cord Paralysis