Dandy-Walker malformation with dysgenesis of the corpus callosum and arachnoid cyst

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Increased head circumference with axial hypotonia.

Patient Data

Age: 1 year
Gender: Male
This study is a stack
Sagittal
T1
This study is a stack
Axial
FLAIR
This study is a stack
Axial
T2
This study is a stack
Coronal
T2
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Info

MRI sequences demonstrate an enlarged posterior fossa with cystic dilatation of the 4th ventricle, communicating with an enlarged posterior peri-cerebellar space through a vermian hypoplasia. Mild anterolateral displacement of the cerebellar hemispheres. Dilatation of the 3rd, and lateral ventricles with dysgenesis of the corpus callosum. Extra-axial cystic lesion of CSF signal on all sequences is noted in the left middle cerebral fossa (arachnoid cyst).

Case Discussion

Classic features of a Dandy-Walker malformation with associated hydrocephalus, dysgenesis of the corpus callosum, and arachnoid cyst.

 

Additional contributor: Karima Chennaf, radiographer CIM "Aurès" Batna, Algeria

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