This ever-growing volume causes a lot of pressure, which affects the surrounding structures. The nuclei of the cranial nerves enter the cavity of the 4th ventricle, therefore, when they are exposed to the pressure of increased CSF in their volumes, excitation is transmitted to these nerves and certain symptoms appear in clinical manifestations. The constantly accumulating fluid forms a cyst in the posterior fossa of the skull. This cyst can be so large that it can deform the skull and interfere with the development of structures adjacent to the cavity of the 4th ventricle. All of the above changes are accompanied by permanent hydrocephalus.
As a result of impaired patency for the cerebrospinal fluid from the 4th ventricle, the child has a violation of the correct laying of reflexes, there is a serious delay in the development of motor skills.
With Dandy-Walker syndrome, a small child is extremely irritable. He may cry frequently, his crying is associated with significant headache due to CSF pressure. Also, his parents may notice that the child, when trying to pick up a toy, may miss it.
The main symptom of Dandy-Walker syndrome will be increasing hydrocephalus. in a child, a large fontanel may pulsate and a visible expansion of the skull may appear due to an increase in its cerebral part. In such children, the growth rate of the skull will significantly exceed the growth rate of the facial part of the skull. Children with Dandy-Walker syndrome cannot hold their heads for a long time and lag behind healthy children in these indicators. Syndromes of hyperactivity or hyperreactivity of certain nerves may also be detected (due to buy fluoxetine online of CSF pressure on their nuclei).
It is important to know that Dandy-Walker syndrome can have both a rapid course and a slower and longer one. Most often, the second, longer option will appear already in adulthood. Its symptoms will be much milder and more gentle than those of the fast current variant. But we must not forget about the possible increase in the impact of hydrocephalus in adult patients with this syndrome.
Dandy-Walker syndrome treatment.
Treatment of Dandy-Walker syndrome depends directly on its degree and severity of the course. With mild degrees and slight manifestationleniya, Dandy-Walker syndrome is treated symptomatically. diuretics are prescribed to reduce the pressure of the cerebrospinal fluid, cope with pain and dizziness. But if the disease continues to progress despite any treatment, then the only true way of treatment is a neurosurgical operation. In its course, new passages for the cerebrospinal fluid are created. drains may be created into the abdominal cavity or chambers of prozac pills, or into the external environment.