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Case Report

Case Report On: Dandy Walker Malformation as Congenital Defect

Prachi Falke , Switi Besekar1 , Prachi Falke2 , Nikita Bhokare3

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International Journal of Pediatric Nursing 10(2):p 83-87, . | DOI: http://dx.doi.org/1021088/ijpen.2454.9126.10224.5
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Switi Besekar, Prachi Falke, Nikita Bhokare. Case Report On: Dandy Walker Malformation as Congenital Defect. 2024;10(2):83–87.
 

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Abstract

Introduction: The Dandy Walker Malformation is a congenital defect affecting the cerebellum, the back part of the brain that controls movement, behaviour and cognitive ability. The central part of the cerebellum (the vermis) is absent or very small and may be abnormally positioned. The incidence rate is approximately 1 per 25,000 – 35,000 live births and the male and female ratio is 1:3.

Patient history: Master Rupesh aged 8 years was admitted in A.V.B.R.H. on 18/08/2019 is diagnosed with a known case of dandy walker malformation and came with the complaints of headache since 4 days, fever since 3 days, vomiting since 5 days and 3 episodes of seizures for which he has been taking ayurvedic medication.

Clinical finding: The patient has undergone various kind of blood test, CSF examination, CT scan, EEG record and MRI brain. The CBC reports were found as Hb% - 14.2 gm%, RBC – 5.23 M/cu. mm, WBC- 10800/cu.mm, platelets - 2.85 lacs/cu.mm; whereas the CSF reports were found with increased protein-CSF,i.e. 300mg/dl and the CT scan as well as MRI reports has shown that a large posterior fossa cyst with open communication with fourth ventricle with hypoplastic left cerebellar hemisphere and non visualized cerebellar vermis S/O dandy walker malformation and mild to moderate hydrocephalus.

Pharmacology: The patient was treated with NSAIDs, anti-biotics, anticonvulsant, antiemetic and antacid.

Surgical Management: The patient underwent V.P. shunt.

Nursing management: Checked for head circumference regularly, vital signs hourly, provided vitamins enriched diet as per dietician’s order and assisted dressing for drainage.

Conclusion: The patient was admitted in A.V.B.R.H. in a critical condition with the chief complaints of headache since 4 days, fever since 3 days, vomiting since 5 days, 3 episodes of seizures, poor muscle tone and ataxia due to developmental delay, but after providing the required treatment by the health care team members of A.V.B.R.H., the patient’s condition was improved and satisfactory.

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  • Prachi Falke
    ,
  • Switi Besekar1
    ,
  • Prachi Falke2
    ,
  • Nikita Bhokare3
    ,
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Switi Besekar, Prachi Falke, Nikita Bhokare. Case Report On: Dandy Walker Malformation as Congenital Defect. 2024;10(2):83–87.
 

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DOI: http://dx.doi.org/1021088/ijpen.2454.9126.10224.5
Keywords Dandy walker malformation; Congenital defect; NSAID; Cerebellar Vermis.

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