A Rare Presentation of Dandy-Walker Syndrome with Meningitis Symptoms in a 3-Month-Old Female: A Case Study From Somalia.

Abstract

Dandy-Walker Syndrome (DWS) is a rare cerebellar malformation characterized by the underdevelopment of the cerebellar vermis and associated complications. This case report presents a 3-month-old female from Somalia who exhibited fever, loss of consciousness, vomiting, and developmental delays. Neurological examination suggested signs of meningitis, and MRI revealed an enlarged posterior fossa consistent with DWS. Despite initial antibiotic treatment for suspected bacterial meningitis, CSF cultures yielded no growth, raising concerns about prior antibiotic use. Unfortunately, the patient's condition deteriorated, leading to her death. This case highlights the diagnostic challenges of DWS in resource-limited settings and emphasizes the need for improved healthcare access, early diagnosis, and intervention for rare neurological conditions.