Abstract

A CASE REPORT ON DANDY WALKER MALFORMATION

Jemimah Mary Jomon, Bala Teresa K., Mohammed Abrar, Sameera Shabnam, Vaidurya S. Padman, Varshini V. Reddy and Dr. Nagarjuna*

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Abstract

Dandy walker malformation is a condition characterized by agenesis or hypoplasia of the cerebellar vermis, cystic dilation of the fourth ventricle, and enlargement of the posterior fossa. Dandy and Black fan were the one to initially describe the Dandy Walker Malformation. This report pronounces a case on 8 years old female patient who was admitted to hospital with the complaints of cold and cough, vomiting, hurried breathing for 1 week. The past history of the patient shows that she was previously admitted to hospital in view of pneumonia. She has a family history of TB contact. On examination HR was 150/min and the RR was 48cpm, pallor was positive. Based on systemic examination and laboratory reports like CT scan of the brain, 2D Echo, chest X-Ray the diagnosis was confirmed as dandy walker malformation with congenital heart disease and lower respiratory tract infection (LRTI). The treatment was initiated with the following drugs ceftriaxone, ondansetron, salbutamol, enalapril, budesonide and furosemide drop. The patient was discharged as her condition was stabilized and she was further referred to a tertiary care Centre for treatment of atrial septal disease and ventriculoperitoneal shunt procedure.

Keywords: Dandy walker malformation, atrial septal disease, ventriculoperitoneal shunt, posterior fossa, cerebellar vermis, LRTI.