Hi gang. There's so much debate (on this site and throughout the internet) on C-section (with general anesthesia to avoid increased ICP with epidural) or vaginal delivery. I found very few articles in the medical literature on this and only one case review: http://asap.org/index.php/disorders/pregnancy-and-chiari-malformation/
Both my PCP and my neurologist recommend C-section. My neurosurgeon's nurse says it's up to me. I haven't told me neurosurgeon (who is also a medical colleague) that I'm pregnant yet but will update you on his opinion soon.
I'm curious as to how other women and made the decision of c-section vs vaginal birth.