Matsumaru Y, Noguchi S, Egashira T, Takano S, Yamada Y, Maki Y, Nose T
Department of Neurosurgery, Kitaibaraki Municipal Hospital, Ibaraki, Japan.
No Shinkei Geka. 1992 Oct;20(10):1103-6.
A case of asymptomatic Dandy-Walker syndrome (DWS) complicated by cerebellar hemorrhage is reported. A 65 year-old man was hospitalized for investigation and treatment of disturbance of consciousness. CT scan and MRI showed a large hematoma in the posterior fossa cyst. Postoperative CT scan and MRI revealed the DWS and cerebellar hemorrhage on the left side. This patient had no symptom until 65 years of age, in spite of having DWS. There has been no such case reported in the literature to our knowledge. Derangement of secretion and absorption of cerebrospinal fluid seem to have been the cause of late-onset symptoms after a long well balanced symptom-free period.
报告了一例无症状性丹迪-沃克综合征（DWS）并发小脑出血的病例。一名65岁男性因意识障碍入院进行检查和治疗。CT扫描和MRI显示后颅窝囊肿内有巨大血肿。术后CT扫描和MRI显示为DWS及左侧小脑出血。该患者尽管患有DWS，但直到65岁都没有症状。据我们所知，文献中尚无此类病例报道。脑脊液分泌和吸收紊乱似乎是在长期症状平稳期后出现迟发症状的原因。
