Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Add to Home Screen/Install App' to create a shortcut app

Preparation for Treatment of Dandy-Walker Syndrome in Children

This page was last updated on January 24th, 2023

Indications for Surgery

  • Symptomatic hydrocephalus: Dandy-Walker malformations with significant hydrocephalus require surgical intervention. Those without significant hydrocephalus may be followed conservatively.

Preoperative Orders

  • Antibiotics: The authors administer vancomycin prior to shunt procedures.
  • Clamp time for CSF drain: Clamping the drain several hours prior to the procedure may help. ICP should be monitored when the drain is clamped, and the patient should be monitored for symptoms.
  • Surgical site scrub: A sterile scrub is performed prior to the procedure.

Anesthetic Considerations

  • ICP precautions: Patients should be considered to have elevated ICP.

Devices to Be Implanted

  • Shunt materials: Ventriculoperitoneal shunt or ventriculostomy as indicated.

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.