Dandy Walker malformation

Discussion:

This is a classic case of a Dandy-Walker malformation.

  • hypoplasia of the vermis and cephalad rotation of the vermian remnant

  • cystic dilatation of the fourth ventricle extending posteriorly 

  • enlarged posterior fossa with torcular-lambdoid inversion (torcular lying above the level of the lambdoid due to abnormally high tentorium

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