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Pediatrics Congenital Anomalies of the CNS ea3270b1

Dandy walker syndrome- True is -

A
Mostly had hydrocephalus
B
Cystic expansion of 4,h ventricle
C
Mid cerebellar hypoplasia
D
All are true
High-Yield Explanation
Ans. is 'd' i.e., All are true o The Dandy-Walker malformation consists of a cystic expansion of the 4th ventricle in the posterior fossa and midline cerebellar hypoplasia, which results from a developmental failure of the roof of the 4th ventricle during embryogenesiso Approximately 90% of patients have hydrocephalus, and a significant number of children have associated anomalies, including agenesis of the posterior cerebellar vermis and corpus callosum. Infants present with a rapid increase in head size and a prominent occiput.o Transillumination of the skull may be positive. Most children have evidence of long-tract signs, cerebellar ataxia, and delayed motor and cognitive milestones, probably due to the associated structural anomalies.o The Dandy-Walker malformation is managed by shunting the cystic cavity (and on occasion the ventricles as well) in the presence of hydrocephalus.

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