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A case of Dandy Walker cyst with porencephaly
S P Ramasamy1, S Chandrasekaran, C R Jayakumar
1Department of Paediatrics, Hospital Universiti Sains Malaysia, Kelantan.
Singapore Medical Journal
|April 1, 1992
Summary
A neonate diagnosed with Dandy-Walker malformation and porencephaly presented with an enlarged head. Surgical intervention with a Ventriculo-Peritoneal shunt led to a successful outcome and discharge.
Area of Science:
- Pediatric Neurology
- Neurosurgery
- Developmental Biology
Background:
- Enlarged head in neonates can indicate serious underlying neurological conditions.
- Porencephaly and Dandy-Walker malformation are congenital brain abnormalities that can lead to significant developmental challenges.
Purpose of the Study:
- To report a case of a neonate with concurrent Dandy-Walker malformation and porencephaly.
- To describe the diagnostic findings and successful management of this complex congenital condition.
Main Methods:
- Clinical presentation of an enlarged head in a term male neonate.
- Diagnostic imaging revealing porencephalic cyst, dilated triventricular system, and a posterior fossa cyst communicating with the fourth ventricle.
- Surgical intervention: Ventriculo-Peritoneal shunt placement on the ninth day of life.
Main Results:
- Diagnosis confirmed as Dandy-Walker Cyst with Porencephaly.
- The neonate underwent successful Ventriculo-Peritoneal shunt placement.
- An uneventful postoperative recovery was observed.
Conclusions:
- Combined Dandy-Walker malformation and porencephaly is a rare but manageable condition in neonates.
- Early diagnosis and surgical intervention, such as Ventriculo-Peritoneal shunting, can lead to favorable outcomes.
- This case highlights the importance of prompt neurosurgical evaluation for congenital brain abnormalities.