Dandy-Walker Syndrome – Anesthetist Challenge in Managing Facial Trauma

Dandy-Walker syndrome (DWS) is a rare congenital malformation characterized by hypoplasia of the cerebellar vermis and its upward rotation and cystic enlargement of the fourth ventricle. The clinical manifestations include psychomotor retardation, ataxia, and hydrocephalus. This is the case report of a 21-year-old male patient who was suffering from a zygomaticomaxillary complex fracture due to a fall while walking. The patient was suffering from unsteady gait and seizure episodes for 5–6 years. The patient prepared for the planned surgical operation and written informed consent was obtained from his parents and himself for surgery and general anesthesia. The patient had undergone open reduction and internal fixation under general anesthesia. The patient was then shifted to the recovery room. DWS in adults is rare and needs to be diagnosed correctly for optimum anesthesia and surgical outcomes.