Civil Hospital, Karachi, Pakistan.
Department of Neurosurgery, Dow University of Health Sciences, Karachi, Pakistan.
J Pak Med Assoc. 2023 Jul;73(7):1536-1538. doi: 10.47391/JPMA.7379.
Dandy-Walker Malformation (DWM) is a rare congenital anomaly of the posterior cranial fossa. Features of DWM include hypoplasia of the cerebellar vermis, enlargement of the posterior fossa, and cystic dilatation of the fourth ventricle. MRI is the modality to confirm the diagnosis. Treatment is usually symptomatic and required when signs of hydrocephalus develop. Rare cases of asymptomatic DWM diagnosed incidentally are reported in literature. We report a case of DWM in a 60-year-old male who presented with haemorrhagic stroke and was later found to have DWM on brain imaging.
Dandy-Walker 畸形(DWM)是一种罕见的后颅窝先天性异常。DWM 的特征包括小脑蚓部发育不良、后颅窝扩大和第四脑室囊性扩张。MRI 是确诊该病的方法。当出现脑积水的迹象时,通常需要进行对症治疗。文献中也有报道罕见的无症状 DWM 病例。我们报告了一例 60 岁男性患者,因脑出血就诊,后来在脑部影像学检查中发现 DWM。