Thursday, 22 October 2015

Midline Intra- Cranial Cyst

Midline intra- cranial cyst is: 
A. Choroid plexus cyst 
B. Dandy-Walker cyst 
C. Unilateral hydrocephalus 
D. Porencephalic cyst 

Ans. B. Dandy walker cyst
• Midline posterior fossa cyst seen in dandy walker syndrome
• With agenesis of cerebellar vermis.
• May be associated with hydrocephalus.
Arnold-Chiari malformations are congenital herniations of hindbrain structures into the spinal canal.
• In type I Arnold-Chiari malformation, the cerebellar tonsils herniate into the foramen magnum;
• In type II Arnold-Chiari malformation, parts of the hindbrain, cerebellar vermis, and fourth ventricle herniate into the foramen. This second type is commonly associated with meningomyeloceles.
Other neonatal presentations associated with Arnold-Chiari malformation include hydrocephalus because of cerebrospinal fluid obstruction and
·  brainstem dysfunction causing stridor and poor swallowing.

Milder cases may present later in life with spinal cord or cerebellar symptoms