• Bishal Pradhan, Bishal Sharma, Pratistha Acharya, Suraksha Thapa, Jyoti Chand, and Simran Bista.
• Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.
• JNMA J Nepal Med Assoc. 2024 Feb 24; 62 (270): 142144142-144.

UnlabelledDandy-Walker syndrome is a rare congenital central nervous system malformation. Dandy-Walker variant is characterised by cerebellar vermian hypoplasia, cystic fourth ventricular dilatation, and normal posterior fossa volume. Various prenatal tests such as ultrasound, fetal magnetic resonance imaging, and amniocentesis can help diagnose Dandy-Walker syndrome. Here, we report a case of the Dandy-Walker variant with meningitis in a neonate admitted to the neonatal intensive care unit due to multiple petechiae on the anterior abdominal wall, accompanied by peripheral cyanosis at the time of birth. Although maximum cases are diagnosed prenatally, some cases might be missed due to inadequate antenatal examination. Magnetic imaging resonance of the brain is best for the diagnosis of Dandy-Walker syndrome postnatally.Keywordscase reports; Dandy-Walker malformation, magnetic resonance imaging, meningitis.

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