Çift kompartman hidrosefaliye neden olan Dandy Walker Sendromu

Amaç: Bu yazıda dual şant yerleştirilerek başarı ile tedavi edilen çift kompartman hidrosefaliye neden olan Dandy Walker Sendromu (DWS) olgusu sunuldu ve bu konu ile ilgili literatür gözden geçirildi. Olgu sunumu: Bilateral katarakt, hipotoni ve sık infantil spazm bulunan 8 aylık bir olguda DWS tespit edildi. Aquaduktus stenozuna bağlı çift kompartman hidrosefali görülmesi üzerine olguya dual şant uygulandı. Operasyon sonrası hastanın nörolojik muayenesinde hızlı düzelme tespit edildi. Sonuç: DWS’ye eşlik eden çift kompartman hidrosefali nadir görülür. Cerrahi tedavi planlanan çift kompartman hidrosefalilerde dual şant uygulanması gereklidir.

Double compartment hydrocephalus due to Dandy-Walker Syndrome

Objective: In this article a case with Dandy Walker Syndrome (DWS) which is associated with double compartment hydrosefalus treated successfully by performing dual shunt has been reported and related literature with this subject was reviewed. Case report: DWS was evaluated in a 8 month old case associated with hypotony, bilateral cataract, infantil spasm. Dual shunt was performed into the case due to double compartment hydrosefalus as a result of aqueductal stenosis. Immediate improvement in the neurological status of the patient was seen after surgery. Conclusion: Double compartment hydrosefalus accompanied by DWS is rarely seen. In double compartment hydrosefalus as a surgical treatment dual shunt should be performed.

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  • 1. Winn H.R Youmans: Neurological Surgery. 5th edition. New York, 2004: pp 3285-7.
  • 2. Mark S. Greenberg MD. Handbook of Neurosurgery. 5th edition. New York, 2001 Time Medical Publishers, pp; 148-9.
  • 3. Osenbach RK, Menezes AH. Diagnosis and management of the Dandy-Walker malformation: 30 years of experience. Pediatr Neurosurg 1992;18:179-89.
  • 4. Akçalı A, Çetin M, Ayata A, Akhan G, Kalkan E: A case of Dandy Walker Syndrome The New J Med 1997;14:49-52
  • 5. DeFeo D, Foltz EL, Hamilton AE. Double compartment hydrocephalus in a patient with cysticercosis meningitis. Surg Neurol. 1975;4:247-51.
  • 6. Neurosurgery. Wilkins RH, Rangachary SS:. Mc Graw–Hill Copyright 1996. 2nd edition.Volume IIIA pp:3665-7.
  • 7. Ersahin Y, Mutluer S, Guzelbag E. A case of double-compartment hydrocephalus presenting with opisthotonus.Surg Neurol 1992;38:291-3.
  • 8. Fedder SL, Richter HA. Double compartment hydrocephalus in an adult.Neurosurgery 1991;28:746-7; discussion 747-8.
  • 9. Miyamori T, Okabe T, Hasegawa T, Takinami K, Matsumoto T. Dandy-Walker syndrome successfully treated with cystoperitoneal shunting. Case report. Neurol Med Chir 1999;39:766-8.
  • 10. Bindal AK, Storrs BB, McLone DG: Managment of the Dandy Walker syndrome .Pediatr Neurosurg 1990-91:16:163-9.