Respiration in an infant with the Dandy‐Walker syndrome

Dandy‐walker Syndrome and Agenesis of the Cerebellar Vermis: Diagnostic Problems and Genetic Counselling

“…In infancy, panting respiration and respiratory pauses unassociated with blood-gas changes are characteristic and parents should be carefully asked whether they have observed such abnormalities. Respiratory pauses are not characteristic in themselves, as they have also been reported in a few cases of apparently 'true' Dandy- Walker syndrome (Krieger 1974 The cortical ribbon may be typically lissencephalic on CT scan, but this may not be visible if the cortex is compressed against the skull. The' most important signs are the eye abnormalities, which affect both the posterior segment (retinal dysplasia and detachment) and the anterior chamber of the eye (corneal opacities, Peters' anomaly).…”

Joubert Syndrome: Clinical and Polygraphic Observations in a Further Case

“…We still think that at least in infancy, as long as the abnormal respiratory pattern was obvious in all cases, ] oubert syndrome can be recognized on clinieal grounds. Adding to the differential diagnostic remarks in our earlier report (Boltshauser and I sler 1977) we are convinced that the syndrome under diseussion can ,easily be distinguished from the "syndrome of mental retardation, wide mouth and intermittent overbreathing" (Pitt and Hopkins 1978), from periodic breathing as reported in infants with near-miss sudden infant death syndrome (Kelly et al 1979), and from respiratory abnormalities as recorded in an instance of Dandy-Walker syndrome (Krieger et al 1974).…”

Anaesthetic management for ventriculoperitoneal shunt insertion in an infant with Dandy–Walker Syndrome

“…Krieger et al reported apneustic breathing and cluster-type breathing possibly due to a pontine lesion in their case report. 16 If the anaesthetist suspects that breathing might be abnormal after a general anaesthetic, especially against a background of preoperative respiratory abnormalities, then a high-care or ICU admission may be necessary postoperatively. Mayhew et al described vocal cord paralysis, possibly due to vagus nerve traction, that prevented extubation of an infant postoperatively.…”