eMJA: Rusli, Batman

Snapshot!

Batman

This young lady presented with a headache. She was known to have Dandy-Walker malformation (dysgenesis or agenesis of the cerebellar vermis associated with cystic dilatation of the fourth ventricle filling nearly the entire posterior fossa) with multiple intraventricular shunts in situ.

X-ray image

The scan shows a combination of hydrocephalus, large posterior fossa cyst and two intraventricular shunts, giving rise to this interesting appearance.

John Rusli
Senior Radiology Registrar
Royal Prince Alfred Hospital, Sydney, NSW

The Medical Journal of Australia eMJA

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