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Dandy-Walker syndrome diagnosed in utero by ultrasonography

Departments of Neurology (Drs. Newman and Miller), Radiology (Dr. Buschi), Pathology (Dr. Sugg), and Pediatrics (Dr. Kelly), University of Virginia Medical Center, Charlottesville, VA.

Fetal ultrasonography during evaluation of a pregnancy complicated by acute polyhydramnios suggested the presence of a Dandy-Walker cyst. At autopsy, the classic posterior fossa anomalies associated with that syndrome were present. In addition, the right vagus nerve was deformed by the cyst wall, suggesting that fetal dysphagia led to the polyhydramnios.

Address correspondence and reprint requests to Dr. Newman, Department of Neurology, Health Sciences Center, SUNY at Stony Brook, Long Island, NY 11794.

Accepted for publication July 2, 1981.