Hemorrhagic Stroke in a Young Adult with Undiagnosed Asymptomatic Dandy–Walker Malformation

The Dandy–Walker Malformation was first described in 1914 by Dandy and Blackfan and is characterized by hypoplasia of the vermis, pseudocystic fourth ventricle, upward displacement of the tentorium, torcular and lateral sinuses, and anteroposterior enlargement of the posterior fossa. This syndrome c...

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Main Authors: Haleem Abdul, Joseph Burns, Andrea Estevez, Carlos Nasr El-Nimer, Brinsley Ekinde, Sherard Lacaille
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2019/1450703
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author Haleem Abdul
Joseph Burns
Andrea Estevez
Carlos Nasr El-Nimer
Brinsley Ekinde
Sherard Lacaille
author_facet Haleem Abdul
Joseph Burns
Andrea Estevez
Carlos Nasr El-Nimer
Brinsley Ekinde
Sherard Lacaille
author_sort Haleem Abdul
collection DOAJ
description The Dandy–Walker Malformation was first described in 1914 by Dandy and Blackfan and is characterized by hypoplasia of the vermis, pseudocystic fourth ventricle, upward displacement of the tentorium, torcular and lateral sinuses, and anteroposterior enlargement of the posterior fossa. This syndrome commonly manifests as hydrocephalus in children, though rare adult cases have been reported. The literature reveals adult symptomatology including brainstem infarction, psychosis, and neuromuscular disease. Stroke is an exceptionally rare presentation of this malformation, with only one ischemic event reported in the literature. This case offers a rare opportunity for diagnosis in an adult presenting with a hemorrhagic stroke of the basal ganglia in an otherwise asymptomatic young adult male. To the best of our knowledge, this is the first reported case of a hemorrhagic stroke in an adult patient with Dandy–Walker Malformation.
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spelling doaj-art-90df32c0a85b481ebeff88bf4271d56c2025-02-03T01:28:52ZengWileyCase Reports in Neurological Medicine2090-66682090-66762019-01-01201910.1155/2019/14507031450703Hemorrhagic Stroke in a Young Adult with Undiagnosed Asymptomatic Dandy–Walker MalformationHaleem Abdul0Joseph Burns1Andrea Estevez2Carlos Nasr El-Nimer3Brinsley Ekinde4Sherard Lacaille5Kendall Regional Medical Center, Miami, FL 33175, USAFlorida International University, Herbert Wertheim College of Medicine, Miami, FL 33199, USAKendall Regional Medical Center, Miami, FL 33175, USAKendall Regional Medical Center, Miami, FL 33175, USAKendall Regional Medical Center, Miami, FL 33175, USAKendall Regional Medical Center, Miami, FL 33175, USAThe Dandy–Walker Malformation was first described in 1914 by Dandy and Blackfan and is characterized by hypoplasia of the vermis, pseudocystic fourth ventricle, upward displacement of the tentorium, torcular and lateral sinuses, and anteroposterior enlargement of the posterior fossa. This syndrome commonly manifests as hydrocephalus in children, though rare adult cases have been reported. The literature reveals adult symptomatology including brainstem infarction, psychosis, and neuromuscular disease. Stroke is an exceptionally rare presentation of this malformation, with only one ischemic event reported in the literature. This case offers a rare opportunity for diagnosis in an adult presenting with a hemorrhagic stroke of the basal ganglia in an otherwise asymptomatic young adult male. To the best of our knowledge, this is the first reported case of a hemorrhagic stroke in an adult patient with Dandy–Walker Malformation.http://dx.doi.org/10.1155/2019/1450703
spellingShingle Haleem Abdul
Joseph Burns
Andrea Estevez
Carlos Nasr El-Nimer
Brinsley Ekinde
Sherard Lacaille
Hemorrhagic Stroke in a Young Adult with Undiagnosed Asymptomatic Dandy–Walker Malformation
Case Reports in Neurological Medicine
title Hemorrhagic Stroke in a Young Adult with Undiagnosed Asymptomatic Dandy–Walker Malformation
title_full Hemorrhagic Stroke in a Young Adult with Undiagnosed Asymptomatic Dandy–Walker Malformation
title_fullStr Hemorrhagic Stroke in a Young Adult with Undiagnosed Asymptomatic Dandy–Walker Malformation
title_full_unstemmed Hemorrhagic Stroke in a Young Adult with Undiagnosed Asymptomatic Dandy–Walker Malformation
title_short Hemorrhagic Stroke in a Young Adult with Undiagnosed Asymptomatic Dandy–Walker Malformation
title_sort hemorrhagic stroke in a young adult with undiagnosed asymptomatic dandy walker malformation
url http://dx.doi.org/10.1155/2019/1450703
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