· Displacement of cerebellar vermis through the foramen magnum
· Elongation and kinking of medulla, brainstem
· Associated with myelodysplasia
· Consider latex allergy precautions
· Associated bulbar palsies with dysphagia, apnea, stridor, decreased gag reflux, vocal cord paralysis
· Aspiration precautions
· Potential for Postop ventilation
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