Presentation
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]
This period is characterized by frequent changes of presentations. The fetuses in breech presentation during this period have the same probability for breech and cephalic presentation at delivery. [findzebra.com]
Either an ultrasound or an MRI of the newborn’s head will demonstrate if hydrocephalus is present. [fetalhealthfoundation.org]
ORPHA:1538 Synonym(s): Braddock-Jones-Superneau syndrome Prevalence: Inheritance: Autosomal dominant Age of onset: Infancy ICD-10: Q03.1 Q75.0 OMIM: 123155 UMLS: - MeSH: - GARD: 998 MedDRA: - The documents contained in this web site are presented for [orpha.net]
Entire Body System
- Developmental Delay
delay syndrome Osteosclerosis-developmental delay-craniosynostosis syndrome Palmoplantar keratoderma-esophageal carcinoma syndrome Perlman syndrome Pfeiffer syndrome Pfeiffer syndrome type 1 Pfeiffer syndrome type 2 Pfeiffer syndrome type 3 Pseudoaminopterin [se-atlas.de]
MELANOSIS, NEUROCUTANEOUS; NCMS Is also known as neuromelanosis;ncm; neurocutaneous melanosis Related symptoms: Intellectual disability Seizures Global developmental delay Generalized hypotonia Ataxia SOURCES: GARD MESH UMLS ORPHANET OMIM MONDO More info [mendelian.co]
- Disability
[…] cdg syndrome type iid; cdg-iid; cdg2d; carbohydrate deficient glycoprotein syndrome type iid; congenital disorder of glycosylation type 2d; congenital disorder of glycosylation type iid Related symptoms: Autosomal recessive inheritance Intellectual disability [mendelian.co]
Mental Retardation Sensenbrenner syndrome + Shprintzen Golberg Craniosynostosis Skeletal Dysplasia, San Diego Type Spondyloepiphyseal Dysplasia with Coronal Craniosynostosis, Cataracts, Cleft Palate, and Mental Retardation syndromic X-linked intellectual disability [rgd.mcw.edu]
Treatment * Neurology (Brain/CNS Specialists): o Neurology (Brain/CNS Specialists) o Pediatric Neurology (Child Brain Specialist) o Pediatric Neurosurgery (Child Neurosurgeon) o Clinical Neurophysiology o Neurodevelopment Disabilities o Neurosurgery o [checkorphan.org]
coloboma - micrognathia AHDC1-related intellectual disability-obstructive sleep apnea-mild dysmorphism syndrome Aicardi syndrome Alcohol related ataxia Albright hereditary osteodystrophy Alagille syndrome Alkaptonuria Allan-Herndon-Dudley syndrome [sanfordresearch.org]
MAPPRIORITY~2 6011000124106~MAPADVICE~IF CRANIOSYNOSTOSIS WITH DANDY-WALKER MALFORMATION AND HYDROCEPHALUS SYNDROME CHOOSE Q75.0 | MAP OF SOURCE CONCEPT IS CONTEXT DEPENDENT 6011000124106~MAPADVICE~IF X-LINKED DANDY-WALKER MALFORMATION WITH INTELLECTUAL DISABILITY [bioportal.bioontology.org]
- Short Stature
STATURE, PARAPLEGIA SYNDROME CHOOSE G80.8 | MAP OF SOURCE CONCEPT IS CONTEXT DEPENDENT 6011000124106~MAPRULE~IFA 720813007 | Craniosynostosis with Dandy-Walker malformation and hydrocephalus syndrome | 6011000124106~MAPADVICE~IF MACROCEPHALY, SHORT STATURE [bioportal.bioontology.org]
[…] nails Neonatal short-limb short stature Peripheral pulmonary artery stenosis Abnormality of the ilium Narrow sacroiliac notch Childhood onset short-limb short stature Aplasia/hypoplasia of the extremities Thickened helices Long thorax Diaphyseal thickening [mendelian.co]
stature, and mental retardation. [thejns.org]
stature syndrome SHOX Short stature, microcephaly, and endocrine dysfunction XRCC4 Short stature, optic nerve atrophy, and Pelger-Huet anomaly NBAS SHORT syndrome PIK3R1 Short-rib thoracic dysplasia type 2 with or without polydactyly IFT80 Short-rib [centogene.com]
- Asymptomatic
For the majority of those patients who were incidentally identified and who are asymptomatic, no treatment is required. [neurosurgerydallas.com]
Subdural Hematoma: Many post-operative sub dural collection are asymptomatic and do not require treatment. [thamburaj.com]
Patients may be asymptomatic or have lower limb weakness, sphincter problems and/or skeletal deformities due to myelodysplasia, neural compression or spinal cord tethering, neural compression and myelodysplasia. [cmej.org.za]
Much larger, almost almost invisible crater-like Associated Often skin Nil features discoloration or tuft of hair Complications Meningitis (often Mainly cosmetic recurrent), dermoid tumour Investigation MRI mandatory Seldom necessary Patients may be asymptomatic [thefreelibrary.com]
Males and females are equally affected. 7 Signs and Symptoms : Patients may present asymptomatic; however, in many cases there are developmental abnormalities present. 8 Imaging Characteristics: CT and MRI demonstrate an elevated third ventricle, noticeable [slideplayer.com]
- Developmental Disorder
While it may result from genetic inheritance or developmental disorders such as those associated with neural tube defects including spina bifida and encephalocele, other possible causes include complications of premature birth, diseases such as meningitis [ana-neurosurgery.com]
The disorder shows wide inter- and intrafamilial variability. [mendelian.co]
Awake craniotomy offers the advantage of intraoperative ECoG monitoring, but is difficult to get the co-operation of children below 9 years of age. [32] Craniovertebral junction anomalies Craniovertebral junction (CVJ) anomalies are developmental disorders [ijaweb.org]
Craniosynostosis is a congenital developmental disorder involving premature fusion of cranial sutures, often associated with multiple neurological manifestations. Paper-9325668. [ihop-net.org]
Respiratoric
- Cough
Recovery and postoperative care The goal is "rapid awakening" in order to help early neurological assessment, haemodynamic stability, and minimal coughing and straining in the ETT. [ijaweb.org]
Gastrointestinal
- Vomiting
[…] veins of the brain that develop before birth Symptoms in infants may include: Downward deviation of the eyes, called "sunsetting" Irritability Seizures Sleepiness Very large head or a head that's growing very quickly in relation to the rest of the body Vomiting [ucsfbenioffchildrens.org]
Symptoms in infants include poor feeding, irritability, reduced activity, and vomiting. [emedicine.medscape.com]
CLINICAL FEATURES: In acute cases, the patient is ill and drowsy, and irritable, with headache, vomiting. Infants with chronic hydrocephalus, present with poor feeding, vomiting, reduced activity, and drowsiness. [thamburaj.com]
In infants, the signs and symptoms of Congenital Hydrocephalus include: Lethargy, sleepiness Irritability Seizures Drooping, downward deviating eyes, termed as ‘sunsetting’ Feeding troubles, frequent vomiting Developmental delays Infants usually have [dovemed.com]
- Nausea
In older children or adolescents, whose skull bones are more rigidly fused, the increased pressure inside the head can cause headache, nausea, visual impairment, lethargy, seizures and mental disability. [chrichmond.org]
Symptoms associated with an arachnoid cyst can include headaches, nausea and vomiting, seizures, hearing and visual disturbances and difficulties with balance and walking. [cedars-sinai.org]
Adults may also have nausea that is not exacerbated by head movements; incontinence (urinary first, fecal later if condition remains untreated) indicates significant destruction of the frontal lobes and advanced disease. [emedicine.medscape.com]
[…] large head (considering the body proportion) In children, the signs and symptoms of Congenital Hydrocephalus include: Lethargy, sleepiness, drowsiness Irritability, headaches Blurred vision, swollen optic nerve, ‘sunsetting’ of the eyes Vomiting and nausea [dovemed.com]
Jaw & Teeth
- Macroglossia
Extreme flexion of neck required in this position may be complicated by mid cervical flexion myelopathy and macroglossia. [ijaweb.org]
[…] ptosis and epicanthus inversus, upslanting palpebral fissures, posteriorly rotated ears and coarse facial features, with unusually shaped bushy eyebrows, synophrys, broad and prominent nose, short simplified philtrum, macrostomia with full lower lip, macroglossia [ojrd.biomedcentral.com]
Musculoskeletal
- Macrocephaly
6011000124106~MAPRULE~IFA 722033000 | Macrocephaly, short stature, paraplegia syndrome (disorder) | 6011000124106~MAPPRIORITY~1 6011000124106~MAPRULE~OTHERWISE TRUE 6011000124106~MAPPRIORITY~5 6011000124106~MAPTARGET~Q12.0 447562003~MAPGROUP~2 6011000124106 [bioportal.bioontology.org]
Exclusion criteria : All the patients with the following were excluded: Benign familial macrocephaly Autism-associated macrocephaly Genetic causes of macrocephaly (majority) Metabolic causes of macrocephaly Inappropriate diagnosis Inadequate record or [thieme-connect.com]
Craniosynostosis-Mental Retardation Syndrome of Lin and Gettig Craniotelencephalic Dysplasia Crouzon syndrome + Dandy Walker Cyst + Dandy Walker Malformation Postaxial Polydactyly Dandy Walker Variant Dandy-Walker Malformation with Mental Retardation, Macrocephaly [rgd.mcw.edu]
[…] and Dandy-Walker cyst ( 11360278 ) oculocerebrocutaneous syndrome (MIM.164180) other associations DWM with atrioventricular septal defect (ASD) (MIM.220210) DWM with sagittal craniosynostosis and hydrocephalus (MIM.123155) DWM with mental retardation, macrocephaly [humpath.com]
- Dolichocephaly
1538Disease definitionCraniosynostosis, Dandy-Walker malformation and hydrocephalus is a malformation disorder characterized by sagittal craniosynostosis (see this term), Dandy-Walker malformation, hydrocephalus, craniofacial dysmorphism (including dolichocephaly [malacards.org]
[…] syndrome Disease definition Craniosynostosis, Dandy-Walker malformation and hydrocephalus is a malformation disorder characterized by sagittal craniosynostosis (see this term), Dandy-Walker malformation, hydrocephalus, craniofacial dysmorphism (including dolichocephaly [orpha.net]
1538 Disease definition Craniosynostosis, Dandy-Walker malformation and hydrocephalus is a malformation disorder characterized by sagittal craniosynostosis (see this term), Dandy-Walker malformation, hydrocephalus, craniofacial dysmorphism (including dolichocephaly [rarediseases.info.nih.gov]
Face, Head & Neck
- Hypertelorism
[…] definitionCraniosynostosis, Dandy-Walker malformation and hydrocephalus is a malformation disorder characterized by sagittal craniosynostosis (see this term), Dandy-Walker malformation, hydrocephalus, craniofacial dysmorphism (including dolichocephaly, hypertelorism [malacards.org]
[…] definition Craniosynostosis, Dandy-Walker malformation and hydrocephalus is a malformation disorder characterized by sagittal craniosynostosis (see this term), Dandy-Walker malformation, hydrocephalus, craniofacial dysmorphism (including dolichocephaly, hypertelorism [orpha.net]
Neurologic
- Nystagmus
Synopsis partial or complete absence of cerebellar vermis cystic dilation of the fourth ventricle (dilated fourth ventricle) hydrocephalus bulging occiput cranial nerve palsies nystagmus truncal ataxia Radiology elevated imprint of the transverse sinuses [humpath.com]
[…] fingernails Milia Sparse scalp hair Motor delay Ataxia Abnormal palate morphology Cardiac fibroma Deep philtrum Odontogenic keratocysts of the jaw Cerebral atrophy Alopecia Corneal dystrophy Thin skin Thick lower lip vermilion Pyloric stenosis Horizontal nystagmus [mendelian.co]
[…] which is aggressive then you have exophylic tumors, tectal gliomas, and rare intrinsic pontine gliomas (adults) Brain tumor of the right or left cerebellar hemisphere and cause symptoms on the same side as the tumor including head tilt, limb ataxia, and nystagmus [quizlet.com]
Benign paroxysmal torticollis of infancy Bernard-Soulier syndrome Best vitelliform macular dystrophy Bicornuate uterus Bilateral renal agenesis Bilateral perisylvian polymicrogyria Biliary atresia Bohring-Opitz syndrome Brachydactyly Brachydactyly - nystagmus [sanfordresearch.org]
- Cerebellar Sign
Clinical presentation includes apnea episodes, hypotonia, seizures, cerebellar signs such as ataxia and nystagmus, spasticity, as well as macrocephaly and other features suggestive of hydrocephalus. [ojrd.biomedcentral.com]
- Delayed Milestone
Infective causes of hydrocephalus are more likely to leave behind an adverse neurological outcome in the form of delayed milestones and mental compromises. [thieme-connect.com]
Workup
[…] cadence with progressively shortening stride length, a hallmark of the gait impairment of Parkinson disease ) Frontal release signs (in late stages): Appearance of sucking and grasping reflexes Testing No specific blood tests are recommended in the workup [emedicine.medscape.com]
X-Ray
- Posterior Fossa Cysts
Treatment When treatment is necessary, the posterior fossa cyst needs to be shunted to allow proper flow of cerebrospinal fluid. [uclahealth.org]
In children, other posterior fossa cysts are Dandy Walker variant, mega cisterna magna and arachnoid cyst. [indianpediatrics.net]
fossa bones posterior fossa cyst at the fourth ventricle Etiology isolated Dandy-Walker malformation (nonsyndromal DWM) (MIM.220200) autosomal recessive inheritance (3q24) ZIC1- ZIC4 heterozygous deletion at 3q2 ( 15338008 ) genetic metabolic diseases [humpath.com]
A posterior fossa cyst representing a dilated fourth ventricle. Enlargement of the Cisterna Magna (representing the fourth ventricle). Splaying of the cerebellar hemispheres Ventriculomegaly. [neurosurgerydallas.com]
Treatment
treatment articles: Treatments for Hydrocephalus Causes See also causal information: Causes of Dandy-Walker malformation Causes of Hydrocephalus Genetics See also genetics of related diseases: Genetics of Dandy-Walker malformation Genetics of Hydrocephalus [familydiagnosis.com]
There are two main types of clinical studies: Clinical trials determine if a new test or treatment for a disease is effective and safe by comparing groups receiving different tests/treatments. [rarediseases.info.nih.gov]
Treatment option of shunting or fenestration: Shunting and/or fenestration represent treatment options. Patients followed for hydrocephalus: Treatment is low-risk, but prolonged follow-up is necessary. [ispn.guide]
Food and Drug Administration has chosen Wave Life Sciences’ planned phase 2/3 study of suvodirsen, its lead experimental therapy for the treatment of Duchenne muscular dystrophy, to break new ground. [globalgenes.org]
Treatment Treatment Options: Monitoring for glaucoma and appropriate treatment are indicated. Hearing tests should be performed early. The usual treatments for keratoconus should be considered. Excess brain fluid may need surgical drainage.. [disorders.eyes.arizona.edu]
Prognosis
Prognosis and intellectual outcome mostly depend on the presence of associated malformations, the degree of vermian malformation and the adequate control of hydrocephalus. [ncbi.nlm.nih.gov]
MRI Provides excellent delineation of the CSF and soft tissue brain components of the encephalocele. 53 Treatment: In cases involving hydrocephalus, shunting CSF from the brain may be necessary. 54 Prognosis: The prognosis of fetuses with an encephalocele [slideplayer.com]
Prognosis - Craniosynostosis- sagittal- with Dandy-Walker malformation and hydrocephalus Not supplied. [checkorphan.org]
(Outcomes/Resolutions) The prognosis for a child with Congenital Hydrocephalus is based on a combination of many factors. [dovemed.com]
The prognosis of these patients depends mainly upon decompression of the cyst by cystectomy or cystoperitoneal shunt at an early stage. Shabnam Bhandari Grover, Ashutosh Pathak, N.C. Saxena Department of Radiology, [indianpediatrics.net]
Etiology
The herniated portion of the brain is nonfunctioning. 49 Etiology: Results from a congenital defect or a trauma opening in the skull. 50 Epidemiology : Newborns are mostly affected. [slideplayer.com]
METHODS: An extensive literature review concerning embryologic, etiologic, pathogenetic, clinical and neuroradiological aspects has been performed. Therapeutic options, prognosis and intellectual outcome are also reviewed. [ncbi.nlm.nih.gov]
[…] ventricle (dilated fourth ventricle) hydrocephalus bulging occiput cranial nerve palsies nystagmus truncal ataxia Radiology elevated imprint of the transverse sinuses thinning and bulging of posterior fossa bones posterior fossa cyst at the fourth ventricle Etiology [humpath.com]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Etiology of hydrocephalus could not be ascertained in one child. [bioline.org.br]
Epidemiology
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]
The herniated portion of the brain is nonfunctioning. 49 Etiology: Results from a congenital defect or a trauma opening in the skull. 50 Epidemiology : Newborns are mostly affected. [slideplayer.com]
Definitions and Epidemiology Head size is an easily measured clinical finding that can be followed over time. The head circumference is measured around the forehead and the occipital protuberance. [neurology.mhmedical.com]
Epidemiology of Craniosynostosis, DWv, and Arnold-Chiari Malformations The dandy walker variant is seen in 1 in 30000 people with a sporadic distribution. [lecturio.com]
Epidemiology, diagnosis, treatment, and prevention of cerebrospinal fluid shunt infections. Neurosurg Clin N Am 2001; 12 (4) 703-708, viii 9 Osenbach RK, Menezes AH. Diagnosis and management of the Dandy-Walker malformation: 30 years of experience. [thieme-connect.com]
Pathophysiology
Pathophysiology Characteristics of Dandy-Walker syndrome include: Enlarged fourth ventricle: Cystic fourth ventricular dilation is present. [ispn.guide]
Table of Contents Definition of Craniosynostosis, DWv, and Arnold-Chiari Malformations Epidemiology of Craniosynostosis, DWv, and Arnold-Chiari Malformations Etiology of Craniosynostosis, DWv, and Arnold-Chiari Malformations Pathophysiology of Craniosynostosis [lecturio.com]
PATHOPHYSIOLOGY: CSF production and absorption are in dynamic equilibrium, with average production equaling average absorption under normal physiologic conditions. [thamburaj.com]
Anaesthesia for children undergoing neurosurgery requires knowledge on cerebral pathophysiology and the interaction of anaesthetic agents on brain. [ijaweb.org]
Loss of genetic material in this region of chromosome 7p has been implicated in the pathophysiology of craniosynostosis and cephalopolysyndactyly syndromes. Paper-8648967. [ihop-net.org]
Prevention
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]
Therefore, ventilation should be controlled as early as possible and mild hyperventilation be instituted to prevent rise in ICP. [ijaweb.org]
Prevention - Craniosynostosis- sagittal- with Dandy-Walker malformation and hydrocephalus Not supplied. [checkorphan.org]
Early detection and treatment is vital to prevent adverse effects of this abnormality The prognosis is dependent on a variety of factors; however, one of the key factor that determines the outcome is the cause of Congenital Hydrocephalus Who gets Congenital [dovemed.com]
This early fusion prevents the skull from growing normally and affects the shape of the head and face. [findzebra.com]