Dandy– Walker Malformation in a Multiparous Woman: A Case Report

Abstract

Background: Dandy-Walker malformation (DWM) or syndrome is a posterior fossa anomaly characterized by agenesis or hypoplasia of the vermis and cystic enlargement of the fourth ventricle causing upward displacement of the tentorium and torcula characterized by dilated posterior fossa, cystic enlargement of the fourth ventricle, hypoplasia of cerebellar vermis and its upward rotation. Most patients have hydrocephalus at the time of diagnosis. Case presentation: A 36-years-old multiparous woman with 39 weeks’ gestation from obstetrics polyclinic with plan for induction of labor. During an ultrasound examination, the fetomaternal department found congenital abnormalities in the fetus, namely the presence of hydrocephalus accompanied by Dandy-Walker syndrome. The patient denied the consumption of alcohol, usage of cosmetic drugs such as isotretinoin or blood thinning drugs. The patient previously had a sudden fever without reddish rash for 7 days at 6 months of gestation which healed on its own. The patient admitted to keeping a cat at her house since last year. The patient admitted that she had never had her blood checked for TORCH screening. After being done of Cervical ripening with Misoprostol according to FIGO 25 mcg/PV/6 hours, born a live baby girl, BW 2440 gr, BL 46 cm, A/S: 6/8. Conclusions: The patient was admitted to the hospital with the main complaint of G4P3A0L3 Gestational age 39-40 weeks, not in labor and a live single fetus in the womb, the patient’s head presentation from the obstetrics clinic with intermittent episodes of vomiting, headache with plans for induction of labor with ultrasound results of Dandy-Walker Syndrome. Pregnant women with DWS in foetal ultrasonic examination should be offered a careful and comprehensive foetal ultrasound scan and further prenatal genetic testing.