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Y-shaped shunt for the treatment of Dandy-Walker malformation combined with giant arachnoid cysts: A case report
BACKGROUND: Dandy-Walker malformation (DWM) was first reported in 1914. In this case report, a pediatric case was complicated with giant and isolated arachnoid cysts in the right cerebellar hemisphere along with the typical DWM. CASE SUMMARY: The patient was at 20 mo old boy, with the complaint of s...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Baishideng Publishing Group Inc
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8895173/ https://www.ncbi.nlm.nih.gov/pubmed/35321189 http://dx.doi.org/10.12998/wjcc.v10.i7.2275 |
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author | Dong, Zhi-Qiang Jia, Yan-Fei Gao, Zhen-Shan Li, Qiao Niu, Liang Yang, Qiang Pan, Ya-Wen Li, Qiang |
author_facet | Dong, Zhi-Qiang Jia, Yan-Fei Gao, Zhen-Shan Li, Qiao Niu, Liang Yang, Qiang Pan, Ya-Wen Li, Qiang |
author_sort | Dong, Zhi-Qiang |
collection | PubMed |
description | BACKGROUND: Dandy-Walker malformation (DWM) was first reported in 1914. In this case report, a pediatric case was complicated with giant and isolated arachnoid cysts in the right cerebellar hemisphere along with the typical DWM. CASE SUMMARY: The patient was at 20 mo old boy, with the complaint of staggering for more than 2 mo. He was admitted to the hospital due to high intracranial pressure and staggering. At admission, the patient had typical manifestations of high intracranial pressure, including vomiting, poor appetite and feeding difficulty. Physical examination revealed increased head circumference, closed anterior fontanelle, unstable standing, staggering, leaning right while walking and ataxia. After admission, he was diagnosed with DWM accompanied by giant isolated arachnoid cysts in the posterior fossa. He underwent Y-shaped three-way valve repair for treating differential pressure between the supratentorial hydrocephalus and the subtentorial arachnoid cysts at once. The child recovered well after the surgery. CONCLUSION: In this case, supratentorial and subtentorial shunts were placed, which solved the problem of differential pressure between the supratentorial and subtentorial parts simultaneously. This provides useful information regarding treatment exploration in this rare disease. |
format | Online Article Text |
id | pubmed-8895173 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-88951732022-03-22 Y-shaped shunt for the treatment of Dandy-Walker malformation combined with giant arachnoid cysts: A case report Dong, Zhi-Qiang Jia, Yan-Fei Gao, Zhen-Shan Li, Qiao Niu, Liang Yang, Qiang Pan, Ya-Wen Li, Qiang World J Clin Cases Case Report BACKGROUND: Dandy-Walker malformation (DWM) was first reported in 1914. In this case report, a pediatric case was complicated with giant and isolated arachnoid cysts in the right cerebellar hemisphere along with the typical DWM. CASE SUMMARY: The patient was at 20 mo old boy, with the complaint of staggering for more than 2 mo. He was admitted to the hospital due to high intracranial pressure and staggering. At admission, the patient had typical manifestations of high intracranial pressure, including vomiting, poor appetite and feeding difficulty. Physical examination revealed increased head circumference, closed anterior fontanelle, unstable standing, staggering, leaning right while walking and ataxia. After admission, he was diagnosed with DWM accompanied by giant isolated arachnoid cysts in the posterior fossa. He underwent Y-shaped three-way valve repair for treating differential pressure between the supratentorial hydrocephalus and the subtentorial arachnoid cysts at once. The child recovered well after the surgery. CONCLUSION: In this case, supratentorial and subtentorial shunts were placed, which solved the problem of differential pressure between the supratentorial and subtentorial parts simultaneously. This provides useful information regarding treatment exploration in this rare disease. Baishideng Publishing Group Inc 2022-03-06 2022-03-06 /pmc/articles/PMC8895173/ /pubmed/35321189 http://dx.doi.org/10.12998/wjcc.v10.i7.2275 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Case Report Dong, Zhi-Qiang Jia, Yan-Fei Gao, Zhen-Shan Li, Qiao Niu, Liang Yang, Qiang Pan, Ya-Wen Li, Qiang Y-shaped shunt for the treatment of Dandy-Walker malformation combined with giant arachnoid cysts: A case report |
title | Y-shaped shunt for the treatment of Dandy-Walker malformation combined with giant arachnoid cysts: A case report |
title_full | Y-shaped shunt for the treatment of Dandy-Walker malformation combined with giant arachnoid cysts: A case report |
title_fullStr | Y-shaped shunt for the treatment of Dandy-Walker malformation combined with giant arachnoid cysts: A case report |
title_full_unstemmed | Y-shaped shunt for the treatment of Dandy-Walker malformation combined with giant arachnoid cysts: A case report |
title_short | Y-shaped shunt for the treatment of Dandy-Walker malformation combined with giant arachnoid cysts: A case report |
title_sort | y-shaped shunt for the treatment of dandy-walker malformation combined with giant arachnoid cysts: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8895173/ https://www.ncbi.nlm.nih.gov/pubmed/35321189 http://dx.doi.org/10.12998/wjcc.v10.i7.2275 |
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