Abstract
Arnold-Chiari Malformation Type 1 (ACM-1) is a neuroanatomical anomaly leading to unique anesthesia challenges. We detail the anesthetic management of a 35-year-old female with ACM-1 undergoing foramen magnum decompression and tonsillectomy. Her obesity and tonsillectomy history posed postoperative risks, requiring specialized care. After surgery, she was monitored in the intensive care unit for 24 hours under sedation, then successfully extubated. She was discharged two weeks later without complications. Proper management of ACM-1 patients demands expert collaboration, thorough assessment, and tailored anesthesia planning for surgical safety and success.
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