Cargando…
A large growing occipital meningocele with Dandy–Walker syndrome: A case report and review of the literature
BACKGROUND: Dandy–Walker syndrome (DWS) is a well-known developmental anomaly. An occipital meningocele (OMC) is recognized as a malformation that is relatively often associated with DWS, but the association of DWS with OMC has been reported in approximately 40 cases. We present herein a rare clinic...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629322/ https://www.ncbi.nlm.nih.gov/pubmed/37941619 http://dx.doi.org/10.25259/SNI_585_2023 |
_version_ | 1785131943727202304 |
---|---|
author | Matsumoto, Shirabe Iwata, Shinji Harada, Atsuko Imon, Hikaru Seno, Toshimoto Watanabe, Hideaki Kunieda, Takeharu |
author_facet | Matsumoto, Shirabe Iwata, Shinji Harada, Atsuko Imon, Hikaru Seno, Toshimoto Watanabe, Hideaki Kunieda, Takeharu |
author_sort | Matsumoto, Shirabe |
collection | PubMed |
description | BACKGROUND: Dandy–Walker syndrome (DWS) is a well-known developmental anomaly. An occipital meningocele (OMC) is recognized as a malformation that is relatively often associated with DWS, but the association of DWS with OMC has been reported in approximately 40 cases. We present herein a rare clinical course of DWS with OMC, in which the sac was small at birth and became progressively larger. CASE DESCRIPTION: A 5-day-old baby boy was referred to our hospital due to OMC. He was born at 33 gestational weeks due to premature rupture of the membranes. He was diagnosed as having DWS associated with OMC. The OMC was covered with skin and its maximum diameter at birth was 3 cm. Magnetic resonance imaging showed an occipital bone defect and continuity of the fourth ventricle, posterior fossa cyst, and OMC sac. The aqueduct was patent, and no hydrocephalus was found. The OMC sac increased progressively with moderate hydrocephalus and reached 7 cm at the age of 54 days when his weight was 2508 g. A cystoperitoneal shunt and repair were performed after sinus venography by contrast computed tomography (CT). At the age of 1 year and 8 months, he had moderate developmental disabilities. CONCLUSION: In most cases reported, the OMC was relatively small, and large and giant sizes were reported in only six cases. Almost all cases remained the same size as at birth and underwent surgical intervention as early as possible. It was possible to understand the relationship between the occipital bone defect and abnormal running of sinuses such as the superior sagittal sinus, torcular Herophili, and transverse sinus preoperatively from the CT venography (CTV) image. CTV may be an effective and important method for safely performing repair and shunt. |
format | Online Article Text |
id | pubmed-10629322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-106293222023-11-08 A large growing occipital meningocele with Dandy–Walker syndrome: A case report and review of the literature Matsumoto, Shirabe Iwata, Shinji Harada, Atsuko Imon, Hikaru Seno, Toshimoto Watanabe, Hideaki Kunieda, Takeharu Surg Neurol Int Case Report BACKGROUND: Dandy–Walker syndrome (DWS) is a well-known developmental anomaly. An occipital meningocele (OMC) is recognized as a malformation that is relatively often associated with DWS, but the association of DWS with OMC has been reported in approximately 40 cases. We present herein a rare clinical course of DWS with OMC, in which the sac was small at birth and became progressively larger. CASE DESCRIPTION: A 5-day-old baby boy was referred to our hospital due to OMC. He was born at 33 gestational weeks due to premature rupture of the membranes. He was diagnosed as having DWS associated with OMC. The OMC was covered with skin and its maximum diameter at birth was 3 cm. Magnetic resonance imaging showed an occipital bone defect and continuity of the fourth ventricle, posterior fossa cyst, and OMC sac. The aqueduct was patent, and no hydrocephalus was found. The OMC sac increased progressively with moderate hydrocephalus and reached 7 cm at the age of 54 days when his weight was 2508 g. A cystoperitoneal shunt and repair were performed after sinus venography by contrast computed tomography (CT). At the age of 1 year and 8 months, he had moderate developmental disabilities. CONCLUSION: In most cases reported, the OMC was relatively small, and large and giant sizes were reported in only six cases. Almost all cases remained the same size as at birth and underwent surgical intervention as early as possible. It was possible to understand the relationship between the occipital bone defect and abnormal running of sinuses such as the superior sagittal sinus, torcular Herophili, and transverse sinus preoperatively from the CT venography (CTV) image. CTV may be an effective and important method for safely performing repair and shunt. Scientific Scholar 2023-10-06 /pmc/articles/PMC10629322/ /pubmed/37941619 http://dx.doi.org/10.25259/SNI_585_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Matsumoto, Shirabe Iwata, Shinji Harada, Atsuko Imon, Hikaru Seno, Toshimoto Watanabe, Hideaki Kunieda, Takeharu A large growing occipital meningocele with Dandy–Walker syndrome: A case report and review of the literature |
title | A large growing occipital meningocele with Dandy–Walker syndrome: A case report and review of the literature |
title_full | A large growing occipital meningocele with Dandy–Walker syndrome: A case report and review of the literature |
title_fullStr | A large growing occipital meningocele with Dandy–Walker syndrome: A case report and review of the literature |
title_full_unstemmed | A large growing occipital meningocele with Dandy–Walker syndrome: A case report and review of the literature |
title_short | A large growing occipital meningocele with Dandy–Walker syndrome: A case report and review of the literature |
title_sort | large growing occipital meningocele with dandy–walker syndrome: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629322/ https://www.ncbi.nlm.nih.gov/pubmed/37941619 http://dx.doi.org/10.25259/SNI_585_2023 |
work_keys_str_mv | AT matsumotoshirabe alargegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT iwatashinji alargegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT haradaatsuko alargegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT imonhikaru alargegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT senotoshimoto alargegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT watanabehideaki alargegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT kuniedatakeharu alargegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT matsumotoshirabe largegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT iwatashinji largegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT haradaatsuko largegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT imonhikaru largegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT senotoshimoto largegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT watanabehideaki largegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature AT kuniedatakeharu largegrowingoccipitalmeningocelewithdandywalkersyndromeacasereportandreviewoftheliterature |