Dandy-Walker malformation

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Mental retardation, developmental delay.

Patient Data

Age: 10 years
Gender: Female
mri

Absent/severely hypoplastic cerebellar vermis.

Cystic dilatation of the fourth ventricle extending posteriorly.

Enlarged posterior fossa with circular-lambdoid inversion.

Aqueduct stenosis with marked tri-ventricular hydrocephalus and transependymal edema.

Case Discussion

The features are consistent with Dandy-Walker malformation with associated aqueductal stenosis and obstructive hydrocephalus.

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