Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.
Department of Paediatrics, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2024 Feb 24;62(270):142-144. doi: 10.31729/jnma.8472.
Dandy-Walker syndrome is a rare congenital central nervous system malformation. Dandy-Walker variant is characterised by cerebellar vermian hypoplasia, cystic fourth ventricular dilatation, and normal posterior fossa volume. Various prenatal tests such as ultrasound, fetal magnetic resonance imaging, and amniocentesis can help diagnose Dandy-Walker syndrome. Here, we report a case of the Dandy-Walker variant with meningitis in a neonate admitted to the neonatal intensive care unit due to multiple petechiae on the anterior abdominal wall, accompanied by peripheral cyanosis at the time of birth. Although maximum cases are diagnosed prenatally, some cases might be missed due to inadequate antenatal examination. Magnetic imaging resonance of the brain is best for the diagnosis of Dandy-Walker syndrome postnatally.
case reports; Dandy-Walker malformation, magnetic resonance imaging, meningitis.
Dandy-Walker 综合征是一种罕见的先天性中枢神经系统畸形。Dandy-Walker 变异型的特征是小脑蚓部发育不全、囊性第四脑室扩张和正常的后颅窝容积。各种产前检查，如超声、胎儿磁共振成像和羊膜穿刺术，有助于诊断 Dandy-Walker 综合征。在这里，我们报告了一例新生儿变异型 Dandy-Walker 综合征合并脑膜炎的病例，该新生儿因前腹壁多发性瘀斑，出生时伴有周围发绀而入住新生儿重症监护病房。尽管大多数病例在产前诊断，但由于产前检查不足，有些病例可能会被遗漏。脑磁共振成像最适合 Dandy-Walker 综合征的产后诊断。
病例报告；Dandy-Walker 畸形；磁共振成像；脑膜炎。
