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Journal of Diagnostic Medical Sonography
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Identical Twins Presenting with Dandy-Walker Malformation and Twin-Twin Transfusion

Karen Lennon, RDMS, RDCS

Fort Collins Women's Clinic, P.C., 543 Spindrift Court, Fort Collins, CO 80525Karenemmel{at}yahoo.com

This report will describe the detection and treatment of 2 unusual entities: duplicated Dandy-Walker malformation as a result of identical twinning and twin-twin transfusion syndrome, which is unique to monochorionic pregnancies.Ultrasound plays a valuable role in the prenatal recognition of these anomalies, allowing for the option of fetal karyotyping, antenatal intervention, or postnatal follow up.

Key Words: posterior fossa malformations • central nervous system • Dandy-Walker complex • monochorionic • twin-twin transfusion syndrome

References

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  • Chang M, Russell S, Callen P, Filly R, Goldstein R: Sonographic detection of inferior vermian agenesis in Dandy Walker malformations: prognostic implications. Radiology1994;193:765—770.[Abstract/Free Full Text]
  • Sperling L, Tabor A: Twin pregnancy: the role of ultrasound in management. Acta Obstet Gynecol Scan 2001;80:287—299.[CrossRef]
  • Skupski D: Twin-twin transfusion syndrome: an update. Croatian Med J 2000;41:228—234.[Medline] [Order article via Infotrieve]
  • Estroff J, Scott M, Benacerraf B: Dandy-Walker variant: prenatal sonographic features and clinical outcome. Radiology1992;185:755—758.[Abstract/Free Full Text]
  • Nyberg DA, Mahony BS, Hegge FN, Hickok D, Luthy DA, Kapur R: Enlarged cisterna magna and Dandy-Walker malformation: factors associated with chromosome abnormalities. Obstet Gynecol 1991;77:436—442.[Medline] [Order article via Infotrieve]
  • Barkovich AJ, Kjos BO, Norman D, Edwards MS: Revised classification of posterior fossa cysts and cyst-like malformations based on the results of multiplanar MR imaging. Am J of Roentgen 1989;6:1289-3000.
  • Altman NR, Naidich TP, Braffman BH: Posterior fossa malformation. Am J Neuro 1992;13:691—724.
  • Miyamori T, Okabe T, Hasegawa T, Takinami K, Matsumoto T: Dandy-Walker syndrome successfully treated with cystoperitoneal shunting. Neurol Med Chir (Tokyo)1999;39:766—768.[CrossRef][Medline] [Order article via Infotrieve]
  • Brackley K, Kilby M: Twin-twin transfusion syndrome. Hosp Med 1999;60:677—681.
  • Sebire NJ, D'Erocole C, Carvello M, Sepulveda W, Nicolaides KH: Inter-twin membrane folding in monochorionic pregnancies. Ultrasound Obstet Gynecol 1998;11: 324—327.[CrossRef][Medline] [Order article via Infotrieve]
  • Thigpen J: Discordant twins: a case report. Neonatal Network1996;15:35—39.[Medline] [Order article via Infotrieve]

Journal of Diagnostic Medical Sonography, Vol. 18, No. 5, 328-331 (2002)
DOI: 10.1177/875647902236845


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This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Lennon, K.
Right arrow Search for Related Content
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?