Dandy–Walker syndrome associated with syringomyelia in an adult: a case report and literature review

Dandy–Walker syndrome associated with syringomyelia is a rare condition, with few reports of adult cases. We describe an adult case of Dandy–Walker syndrome with concomitant syringomyelia. A 33-year-old man presented with a 3-month history of walking instability, numbness in the hands, memory deteri...

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Main Authors: Nan Zhang, Zhenyu Qi, Xuewen Zhang, Fangping Zhong, Hui Yao, Xiang Xu, Jiangang Liu, Yulun Huang
Format: Article
Language:English
Published: SAGE Publishing 2019-04-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060518808961
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author Nan Zhang
Zhenyu Qi
Xuewen Zhang
Fangping Zhong
Hui Yao
Xiang Xu
Jiangang Liu
Yulun Huang
author_facet Nan Zhang
Zhenyu Qi
Xuewen Zhang
Fangping Zhong
Hui Yao
Xiang Xu
Jiangang Liu
Yulun Huang
author_sort Nan Zhang
collection DOAJ
description Dandy–Walker syndrome associated with syringomyelia is a rare condition, with few reports of adult cases. We describe an adult case of Dandy–Walker syndrome with concomitant syringomyelia. A 33-year-old man presented with a 3-month history of walking instability, numbness in the hands, memory deterioration, and urinary incontinence. A physical examination showed a positive Romberg sign. Brain computed tomography and magnetic resonance imaging showed hydrocephalus, a cyst in the posterior fossa, absence of the cerebellar vermis, hypoplasia of the corpus callosum and cerebella, and syringomyelia. All of these symptoms were consistent with the diagnosis of Dandy–Walker syndrome. Surgery involving arachnoid adhesiolysis and endoscopic third ventriculostomy was performed. At the 6-month follow-up, the symptoms were completely relieved. Magnetic resonance imaging showed that syringomyelia was greatly reduced and the hydrocephalus remained unchanged. Dandy–Walker syndrome with concomitant syringomyelia in adults is exceedingly rare. Early diagnosis and appropriate surgical treatment of this condition should be highlighted. Combined arachnoid adhesiolysis and endoscopic third ventriculostomy may be an effective approach.
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spelling doaj.art-69fdcf96b0984869a9d26c9ba08d8d112022-12-21T17:16:38ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002019-04-014710.1177/0300060518808961Dandy–Walker syndrome associated with syringomyelia in an adult: a case report and literature reviewNan ZhangZhenyu QiXuewen ZhangFangping ZhongHui YaoXiang XuJiangang LiuYulun HuangDandy–Walker syndrome associated with syringomyelia is a rare condition, with few reports of adult cases. We describe an adult case of Dandy–Walker syndrome with concomitant syringomyelia. A 33-year-old man presented with a 3-month history of walking instability, numbness in the hands, memory deterioration, and urinary incontinence. A physical examination showed a positive Romberg sign. Brain computed tomography and magnetic resonance imaging showed hydrocephalus, a cyst in the posterior fossa, absence of the cerebellar vermis, hypoplasia of the corpus callosum and cerebella, and syringomyelia. All of these symptoms were consistent with the diagnosis of Dandy–Walker syndrome. Surgery involving arachnoid adhesiolysis and endoscopic third ventriculostomy was performed. At the 6-month follow-up, the symptoms were completely relieved. Magnetic resonance imaging showed that syringomyelia was greatly reduced and the hydrocephalus remained unchanged. Dandy–Walker syndrome with concomitant syringomyelia in adults is exceedingly rare. Early diagnosis and appropriate surgical treatment of this condition should be highlighted. Combined arachnoid adhesiolysis and endoscopic third ventriculostomy may be an effective approach.https://doi.org/10.1177/0300060518808961
spellingShingle Nan Zhang
Zhenyu Qi
Xuewen Zhang
Fangping Zhong
Hui Yao
Xiang Xu
Jiangang Liu
Yulun Huang
Dandy–Walker syndrome associated with syringomyelia in an adult: a case report and literature review
Journal of International Medical Research
title Dandy–Walker syndrome associated with syringomyelia in an adult: a case report and literature review
title_full Dandy–Walker syndrome associated with syringomyelia in an adult: a case report and literature review
title_fullStr Dandy–Walker syndrome associated with syringomyelia in an adult: a case report and literature review
title_full_unstemmed Dandy–Walker syndrome associated with syringomyelia in an adult: a case report and literature review
title_short Dandy–Walker syndrome associated with syringomyelia in an adult: a case report and literature review
title_sort dandy walker syndrome associated with syringomyelia in an adult a case report and literature review
url https://doi.org/10.1177/0300060518808961
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