Thursday, June 12, 2014

Small Red Bumps on Skin

Small Red Bumps on Skin
Skin is one of the most important and sensitive organs of a human body as it interact with the outside environment directly. Several external factors such as sun, dirt and dust, fungus, bacteria etc. can cause rashes or red bumps over the skin which can or cannot be painful. If you have got red bumps on skin then you should first know about the root cause of the same. Also some rashes like ringworm are contagious, so it is necessary to consult your dermatologist at the earliest to avoid further complications. Not all skin rashes are painful and itchy but their sight can lead to low self confidence in many and can affect the person both mentally and physically.










Causes of red bumps on skin


Mostly, rashes or red bumps over the skin can be an outcome of-



  • Fungal or bacterial infection- scarlet fever, intertrigo, ringworm are few examples of skin problems triggered by bacterial or fungal infection.

  • Direct contact with an allergen or irritant

  • Allergic reaction from some kind of medication

  • Virus- measles, chicken pox, roseola, shingles etc are the examples of small red bumps or rashes on the skin caused by virus.


Rashes like dermatitis and pityriasis rosea are some of the most common rashes found among the people. While the former is symbolized by inflammation over the skin and has many types and causing agents, latter is characterized by itchy skin which starts with a spot and then sweeping outwards. Another common skin rash is shingles which is caused by chicken pox virus which becomes active even after the disease is cured. Dealing with such short term red skin bumpy condition is bad enough but when the rashes are long term and do not go away easily, then the things becomes more irritating. Conditions like eczema, lichen annularis, lichen planus and psoriasis fallen under the category of skin rashes which are long lastly and demand extra medication attention. These are also recurring skin rashes with keep on coming back and thus annoy a lot.










Sometimes in hot and humid climate, red rashes or bumps start to appear over the skin, such a condition is termed as heat rash. It is not a serious problem and can be resolved by taking proper skin care and avoiding tight clothes. In western countries, skin allergies from the sun also lead to red patches or rashes over the skin.



Treatment for small, red bumps on skin


As there can be a number of causes and conditions with can lead to skin rash or red bumps, it is important to identify the best treatment option to return good health to your skin. There are some conditions like intertrigo which go away on their own, but other requires good medical assistance and care. In case of bacterial infection on the skin, you need to have a good anti bacterial cream or medication handy. Skin rash caused by fungi can be treatment using anti fungal infection medication. Many of these medications are available over the counter and many are prescribed by the doctor depending upon the severity of your skin rash or bumps. If the rash is triggered by viral infection, then it is best to treat its symptoms rather than combating from the virus itself. For instance, an antihistamines or anti itch medication can help you ease your itching.


Getting those red, patching, sometimes itchy red bumps over the skin doesn’t sound appealing so it is better to avoid them by keeping good care of your skin. One must try to keep the skin clean (must practice proper personal hygiene) and avoid being in touch with any allergen or potential invader that can damage your skin. In case of rashes, take proper medication and advice from the physician which will help in keeping your skin healthy.












Hyperactive Bowel Sounds

Hyperactive Bowel Sounds
Hyperactive bowel sounds or abdominal sounds are the noises which are made by the intestines usually during the process of digestion. The noises are made when food is pushed or moved through the intestines during digestion. The concept of bowel sounds can be explained with the help of water pipes. Just as the water pipes, the intestines are also hollow; the bowel sounds can just echo through the abdomen. Bowel sounds are perfectly normal and harmless and they occur in usual circumstances. Louder abdominal sounds do indicate that the gastrointestinal tract is working fine. Bowel sounds are normal phenomenon; however, sometimes these sounds do give valuable information about the health condition of the body. Bowel sounds are classified as hyperactive and hypoactive. While hyperactive refers to the increased or rather extremely loud sounds, hypoactive refers to the reduced bowel sounds.










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Causes of hyperactive bowel sounds


Hypoactive or hyperactive bowel sounds are perfectly normal and they are the result of normal digestion process. However, there are conditions when these bowel sounds are caused due to abnormal process. Blocked blood vessels in the intestines which obstruct them from getting proper blood flow could be one of the reasons of abnormal bowel sounds. A medical condition called as mesenteric artery ischemia may be caused due to blood clots in the intestines. Due to this condition, the arteries which supplies blood gets blocked and it causes lower bowel sounds. Bowel obstructions are also caused by diseases like tumor, adhesions, hernia, etc. which also blocks the intestines. Blood vessel blockage, hypokalemia (chemical imbalance), bowel blockage, infection, overexpansion of the bowel results in reduced nerve activity which causes paralytic ileus which in turn results in hyperactive bowel sounds. Some of the other reasons of hyperactive bowel sounds are diarrhea, food allergy, Crohn’s disease, infectious enteritis, GI bleeding, ulcerative colitis, etc. Trauma is another cause of increase or decreased activity of bowel sounds.


Symptoms of hyperactive bowel sounds


Hyperactive bowel sounds are generally caused due to digestion. It is the natural process of digestion. Other symptoms of hyperactive bowel sounds include excessive gastric formation, diarrhea, constipation, and stools with traces of blood, vomiting, nausea, heartburn, and sudden or unintentional weight loss. Sometimes the patients may also experience a state of fullness or acute abdominal pain.










Diagnosis


The prolonged stomach pain should prompt the patients to visit a doctor who would diagnose for the presence of any complexities. Sometimes, the abdominal sounds occur with various other symptoms where the doctors would do various tests to find out the underlying cause. The first observation is usually done with the help of stethoscope where the doctors listen to the bowel sounds and see for any abnormalities in them. Various questions are asked by the doctors to know the underlying cause of hyperactive bowel sounds. Some of these questions include how long the patients have abdominal pain, how long he is suffering from diarrhea, constipation, what are the other symptoms associated with the bowel sounds, is there any bleeding observed in the stools, etc. The questions mainly link to the symptoms observed in the increased bowel syndrome. Depending on the patient’s responses to the above questions, the doctors would then go ahead and do other diagnostic tests to find out the complexities. Post this, there are various other tests done to know if the patients are suffering from any other complex diseases. Various types of tests which are required to be done include CT (Computed Tomography) scan which take the x-ray images of the abdominal area of the body, an abdominal x-ray scan, endoscopy where a camera attached to a small tube is inserted in the abdomen of the patient through mouth and it takes of the pictures of any possible ulcers in the area and other blood tests which is required to find out if the abdomen pain is due to any kind of infection or organ damage.


Diagnosis should be done at the right time to understand the underlying cause. Whenever patients experience symptoms like vomiting, diarrhea, unstoppable constipation, nausea, bleeding of the rectum, etc., they should immediately refer to a medical professional.



Treatment of hyperactive bowel sounds


In case of emergency, the patients are not allowed to eat or drink anything so that the intestines take enough rests. A tube is placed inside the mouth or nose and fluids and medicines are provided through veins. This is required to be done strictly in the presence of medical professional, especially in the hospitals. Medication may be given to reduce the symptoms. The type of medicines solely depends on the symptoms and the complexities of the cases.


Bowel sounds are perfectly normal and it is a part of the digestion process. However, people are required to understand the symptoms of hyperactive bowel sounds and if required medical attention should be sought.












Marfan Syndrome

Marfan Syndrome
Marfan syndrome develops when the gene that produces protein to make the connective tissues elastic is defective. This could cause problems in the skeletal system, cardiovascular system, nervous system and other organs in the body. Majority of those who are afflicted have a family history of the syndrome, while a few develop the syndrome because of random genetic mutation. Since several systemic functions are affected, complications will likely happen if the condition is ignored or left untreated for a long time.










Individuals with Marfan syndrome are treated based on the severity of the symptoms and the degree of systemic functioning affected. A multidisciplinary team of doctors will work together in designing the most appropriate treatment plan for the patient. This may involve a cardiologist, an ophthalmologist, an orthopedist and a geneticist. The treatment can help the patient by relieving the symptoms and preventing further complications from arising.


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  • 2 Symptoms of Marfan syndrome
    • 2.1 Skeletal system
    • 2.2 Cardiovascular system
    • 2.3 Nervous system
    • 2.4 Lungs
    • 2.5 Skin
    • 2.6 Eyes
  • 3 Treatment of Marfan syndrome 
  • 4  Marfan Syndrome Pictures

  • Causes of Marfan syndrome


    The syndrome develops because the gene that is involved in producing fibrillin-1 is faulty. Fibrillin-1 is a type of protein that strengthens and makes the connective tissues elastic. Connective tissues are fibers that provide shape to different parts of the body and hold them together. A defect in the gene that produces fibrillin-1 hinders the connective tissues from serving their function.


    Anyone can suffer from the syndrome, regardless of race, gender and ethnic background. There are two conditions that can give rise to Marfan syndrome, and these are:




    • Inherited defective gene


    A person can receive the defective gene from one of his or her parents. In fact, this comprises most cases of Marfan syndrome since the parent with the defective gene has a 50% chance of passing it to the offspring. 




    • Random genetic mutation


    The defective gene could be the result of random changes in the genetic material during conception. About 1 out of 10,000 births or equivalent to 25% of Marfan syndrome cases is a consequence of this cause.


    Symptoms of Marfan syndrome


    The connective tissues are important for the skeletal, cardiovascular and nervous systems as well as other organs in the body. That is why when connective tissues do not function as they should, problems arise on any part of the body where these tissues are found.




    • Skeletal system


    Individuals afflicted with the syndrome typically have long and slim physique, flat feet, loose joints, indented breastbone, curved spine, crowded teeth, narrow face, and disproportionate limbs, toes and fingers. 




    • Cardiovascular system


    A defective connective tissue brings a wide array of problems to the heart. It could stretch and weaken the heart valves and cause heart murmur which results in heart palpitations, breathing difficulties and fatigue. The aorta may become stretched and weakened and give way to life-threatening aortic dissection. 




    • Nervous system


    Connective tissues surround the spinal column and brain through a membrane known as dura. Abnormal connective tissues cause the dura to swell and become weak. This could put undue stress on the lower spinal column, slowly destroying the bone surrounding the spine causing discomforting pain and leg weakness. 












    • Lungs


    Problems with connective tissues can cause the air sacs in the lungs to become less elastic, thus, swell over time. This predisposes the patient to lung-related problems, like emphysema and lung collapse and sometimes heavy snoring and sleep apnea. 




    • Skin


    The syndrome also results in unexplained stretch marks all over the body. This may not be totally worrisome but other health problems might occur as a result of defective connective tissues, like abdominal hernia. 




    • Eyes


    Eye problems or abnormalities, such as cataracts, myopia, glaucoma and detached retina are common among people with Marfan syndrome. The lens in one or both eyes may be displaced. This dislocation is minimal in some and more pronounced in others.


    It should be noted that the nature of expression of the defective gene in Marfan syndrome is variable, which means that the symptoms and their severity differ in every person, even among family members. The syndrome could lead to potentially life-threatening complications like:



    • Scoliosis

    • Cataracts or glaucoma

    • Valve malformations

    • Aortic dissection or aneurysm


    Treatment of Marfan syndrome 


    The syndrome can have a huge impact not only on the patient but on the patient’s family as well. It could greatly affect the financial and social status of the family. The syndrome could bring mixed emotions of sadness, fear, anger and guilt. Treating the condition is essential as it can aid the patient and his or her family in dealing with the financial, social and emotional setbacks caused by the syndrome. Treatment is geared towards addressing the specific symptoms suffered by the patient, as well as in preventing complications from occurring. This may involve medications, therapies and even surgery.


    Living with Marfan syndrome is not easy but with the right treatment and strong family and social support, the patient and his or her family can live a normal life. 


     Marfan Syndrome Pictures

















    Morquio Syndrome

    Morquio Syndrome
    Morquio syndrome is a problem that occurs when the body lacks or does not produce enough enzyme that will digest the long strands of sugar molecules. This would cause the sugar molecules to collect and harm the cells and tissues resulting in various skeletal and physical problems, hearing loss, vision problems and heart abnormalities. The syndrome is present at birth and early medical intervention can improve the quality of life of the patient.










    Children with Morquio syndrome are treated based on the severity of the symptoms. A team of qualified healthcare specialists will work together in designing the best and most appropriate treatment strategy. The goal of the treatment is to help the patient deal with the odd effects of the syndrome as well as identify the potential complications and prevent them from developing.


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    Causes of Morquio Syndrome


    Morquio syndrome is an inherited metabolic disorder wherein both parents pass the defective genes involved in the production of enzymes that digest long strands of sugar molecules to their offspring. The genes involved are:



    • GALNS (galactosamine (N-acetyl)-6-sulfate sulfatase)


    This gene is specifically involved in the production of N-acetylgalactosamine 6-sulfatase enzyme which not only digests long strands of sugar molecules but removes the sulfate molecules present in large amounts in the cornea and cartilage.



    • GLB1(galactosidase beta 1)


    This gene is responsible for the production of beta-galactosidase which helps break down sugar molecules. It is also involved in the production of elastin-binding protein which helps form elastic fibers in the connective tissues.


    Mutations in these genes will deactivate the enzymes they produce, making them partially or completely absent. Morquio syndrome can be type A when there are mutations in GALNS gene; or type B if the mutations are found in the GLB1 gene. The syndrome is also referred to as MPS IV or Mucopolysaccharidosis type IV. This was discovered independently and simultaneously in 1929 by Uruguayan physician Luis Morquio and British radiologist James Frederick Brailsford.


    Symptoms of Morquio syndrome


    Problems related to the syndrome arise when large sugar molecules remain unbroken, causing them to accumulate in many cells, tissues and organs, especially in the bones. This explains why persons afflicted with the condition have bone abnormalities. The amassing of large sugar molecules in the digestive units of cells also affects other proteins resulting in an additional set of problems. Morquio syndrome affects the bones, joints, ears, eyes, skin, spleen, liver, bone marrow and even the arteries. Some of the hallmark features of the syndrome are:



    • Dwarfism

    • Cloudy corneas

    • Bell-shaped chest

    • Broad mouth and widely-spaced teeth

    • Prominent breastbone

    • Stunted neck

    • Curved spine

    • Knock-knees

    • Hypermobile joints

    • Flat feet

    • Prominent buttocks

    • Vision problems

    • Hearing loss


    With the combined anomalies involving the spine, the affected individual will have some difficulties with some positions as well as in walking, resulting in a duck-like waddling gait. In addition, the heart a Morquio syndrome patient could suffer as well. Remarkably, intelligence is not affected by the condition.










    Diagnosis and prognosis of Morquio Syndrome


    Timely diagnosis and treatment can really make a big difference in improving the quality of life of the patient. It should be noted that the syndrome is not always obvious at birth unless there are significant heart anomalies or complications. In most cases, Morquio syndrome is detected sometime between the 1st and 3rd years of the child’s life when growth suddenly stops and physical and bone deformities become more pronounced.


    The chances for survival highly depend on how severe the condition is. Some patients live only for 2 or 3 years after birth, while others reach childhood and adolescence. Still, others reach up to the 6th or 7th decade of their lives.


    Treatment of Morquio Syndrome


    The treatment is planned based on the thorough evaluation of a team of doctors composed of a pediatrician, ophthalmologist, orthopedist and cardiologist. The pediatrician will look for the physical manifestations of the syndrome as well as organ involvement. An ophthalmologist will check for vision problems, while the orthopedist will examine for spine and bone abnormalities. The cardiologist will likewise investigate for heart anomalies. X-rays, MRI, echocardiogram and some blood work will confirm the condition.


    There is no definite way to treat Morquio syndrome. However, treatment can improve the chance of survival of the patient as well as help him/her feel better. The syndrome can have detrimental effects on the social well-being of the person, making it hard for him/her to fit in with others. In addition, the associated health problems and future complications could prevent the patient from enjoying life to the fullest. But all these will be endeavored to be addressed in the treatment. Spinal fusion is usually done to correct undeveloped cervical vertebrae or neck bone. Other bone problems as well as heart defects are likewise treated accordingly.


    Having a child with Morquio syndrome can be overwhelming and even frustrating. But knowing that many families are also dealing with the syndrome and coping successfully is a great source of encouragement.


    Morquio Syndrome Pictures

















    Dermatofibroma

    Dermatofibroma
    Dermatofibroma is a condition wherein benign growths develop on the skin tissue. These growths are tender to the touch and appear singularly or in groups and linger for long periods of time. The fibrous skin growths sometimes occur right where an insect bite is found. They commonly appear on the arms and legs.










    Dermatofibroma is more of a cosmetic concern than a health problem, which is why treatment is only done when the growths have become painful. Even so, some people still choose to have it removed not only because it looks unsightly but because of the discomfort it could cause. The benign growth can be removed through surgery or freezing using liquid nitrogen.


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  • 3 When is treatment needed for Dermatofibroma?
  • 4 Dermatofibroma removal and treatment
    • 4.1 Cryosurgery
    • 4.2 Surgical removal
  • 5 Dermatofibroma pictures

  • Why do fibrous benign growths develop?


    The reason behind dermatofibroma or fibrous histiocytoma is not yet clearly understood. Studies showed that fibrous histiocytoma develop as a result of cell overgrowth on the dermis, or the layer of the skin that is made up of connective tissues. It is not known why this occurs but experts believe that cellular changes cause the cells to grow and divide abnormally. This is the reason why these growths recur at the same site even after it has been removed. Fibrous histiocytoma has been found to form after a minor skin injury or insect bite.


    Research revealed that the condition is 4 times more common in women than in men. Anyone can develop fibrous histiocytoma but it has been found to more frequently affect young adults than children.


    How does Dermatofibroma look like?


    The benign growths of fibrous histiocytoma contain histiocytes and collagen. They usually appear in singles but they could also develop in clusters or groups with an irregular pattern. Among the characteristic features of dermatofibroma are:




    • Size


    These non-cancerous growths are usually small, measuring anywhere between 0.5 and 1.5 centimeter. However, they could be bigger in some individuals. They usually develop on the lower legs but could appear on the trunk and arms too.




    • Color


    The growths are usually red-brown but they could also appear in yellowish-brown or flesh hues. They seem darker on people with dark skin tones. The area around the benign growths may appear pinkish, brownish or purplish.




    • Texture


    Dermatofibroma are painless but firm and tender. They become painful when pressed or touched. They are sometimes itchy and could have a shiny or dull surface.


    Fibrous histiocytoma does not usually cause other symptoms but the condition persists for several years and even for life. One should keep from cutting the growth in an attempt to get rid of it. It is best to have a qualified doctor check and treat it properly.


    When is treatment needed for Dermatofibroma?


    Fibrous histiocytoma is harmless and does not become cancerous even if left untreated. But the fact that it could be unsightly and cause some pain or discomfort when touched or pressed, that treatment becomes a necessity. Treatment is also required when the bump grows quickly and starts to bleed. A qualified doctor can diagnose the condition by simply inspecting and touching the bump. He or she may try to squeeze it to induce a dimple to form. If the doctor is still unsure, a skin biopsy is done to confirm the condition.










    Dermatofibroma is harmless but often comes back over and over again. Removing the entire lump as well as the surrounding subcutaneous fats will completely prevent fibrous histiocytoma from growing back. The doctor will need to take into account other possible serious skin problems or cancer before removing the growth.


    Dermatofibroma removal and treatment


    The standard procedure  for dealing with dermatofibroma is to ignore it. Individuals who have this kind of benign skin growth should not bother with treatment because it is harmless and does not lead to cancer. But if it is causing undue distraction and discomfort, especially when shaving or wearing clothes, the patient will definitely benefit from treatment. One should always remember that these non-cancerous growths may still grow and develop in other parts of the body especially after an insect bite or minor skin injury.


    Treating dermatofibroma involves removing the benign skin growths. This is can be done in two ways:




    • Cryosurgery


    This removal procedure involves freezing and destroying the growth using liquid nitrogen. The cooling agent will destroy the cell. But this removal procedure is only superficial, which means only the upper part of the growth is removed. The deeper part of the growth remains and may become active again and start to grow over time, hence, requiring the procedure to be repeated. Cryosurgery will leave a white scar on the affected area.




    • Surgical removal


    Surgery will completely remove the entire growth. The surrounding subcutaneous fats are removed as well. Because the bump has grown deep, the procedure will leave a permanent scar. However, the chances of complication are minimal. The procedure is done under local anesthesia.


    Those who are afflicted with the condition should seek professional advice before removing dermatofibroma to prevent unwarranted complications from happening.


    Dermatofibroma pictures
















    Dyshidrotic Eczema

    Dyshidrotic Eczema
    There are several different forms of eczema and dyshidrotic eczema or dyshidrosis is one of them. This type of eczema causes blistering rash on the hands or feet that are incredibly itchy and painful. The rash may be short-lived and disappears in 3 weeks or less. However, it can also be severe and even disabling and interfere with the person’s daily functioning. Dyshidrosis may seem contagious but they are not, but an individual can suffer from it several times.










    Treatment for dyshidrotic eczema helps relieve the itchiness and discomfort. Natural remedies for dyshidrosis have been proven effective in alleviating the symptoms as well. Medicines, topical creams and UV treatment also work in dealing with dyshidrosis. Of course, following precautionary measures can be of great help in preventing the rash to reappear.


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  • 6 Dyshidrotic Eczema Pictures
  • 7

  • Cause of Dyshidrotic eczema


    Dyshidrosis was once thought to be a disorder of the sweat glands caused by profuse sweating. But studies revealed that most patients in no way sweat profusely. Moreover, an in-depth examination of the blisters revealed that they are actually serum and not sweat coming from blood vessel. Dyshidrotic eczema is viewed as eczema or dermatitis on the fingers, palms, toes and soles. In dyshidrosis, the skin is inflamed and filled with fluid. After 2 or 3 weeks, the blisters will dry out with visible cracks forming which are both unsightly and painful.


    Unlike other forms of eczema, experts do not know the exact cause of dyshidrosis but believe that it could be associated with:



    • Atopic dermatitis

    • Localized skin infection

    • Allergy

    • Asthma

    • Hay fever

    • Chemical exposure

    • Stress

    • Seasonal allergies


    Occurrence of Dyshidrotic eczema


    Children and adults alike can be affected by dyshidrosis. It is estimated to affect 1 out of 5,000 individuals across the globe, particularly during the summer months. Statistics also showed that it more frequently occurs in females than males especially those who are in their 20s and 40s.


    Aside from being a female, the chances of suffering from dyshidrotic eczema are high due to:



    • Constant stress

    • Exposure to harsh chemicals and moisture

    • Seasonal allergy


    Appearance of Dyshidrotic eczema


    It is not difficult to identify dyshidrosis because it exclusively affects the skin on the hands and feet, particularly on the fingers, palms, toes and soles. Dyshidrotic eczema can be identified as small fluid-filled blisters that develop on one or both hands and feet. They are terribly itchy and sometimes painful especially when big blisters appear. Once the blisters dry out, cracks or fissures start to form which can be extremely painful.


    Dyshidrosis can be more than an inconvenience for some individuals. The condition can be socially frustrating and physically debilitating and severely affects the person’s day to day functioning. And because they are itchy, the urge to scratch is intense, thus, inviting nearby pathogens or bacteria to feed on it and cause infection. If it has become recurrent or show signs of infection, such as the development of fever, then a trip to the doctor is necessary. The doctor will conduct patch test, potassium hydroxide test, skin scraping or biopsy to determine what triggers the dyshidrosis.










    Treatment of Dyshidrotic eczema


    Dyshidrosis normally responds to treatment. However, some treatment strategies might not work with some individuals and work for others.  Besides, the same treatment strategy that worked for the person might not be effective during the next flare-up. That is why the doctor will recommend a variety of treatment methods involving:



    • Corticosteroid creams/ointments

    • Anti-histamines

    • Immune-suppressing medications

    • Botulinum injections

    • Phototherapy or PUVA UV treatment


    Home Remedies


    Dyshidrotic eczema can be treated naturally. Some of the most popular home remedies for itchy blistery rashes are:




    • Salt solution


    To make the salt solution, simply mix salt and water. Then soak the affected hands or feet for 10 to 15 minutes two times a day until the blisters dry up. Make sure to boil chlorine-treated water first before mixing it with salt to prevent irritating the blisters further.




    • White vinegar solution


    White vinegar solution can be made up of 50% water and white vinegar or 60% water and 40% white vinegar for those with extra sensitive skin. The affected hands or feet can be soaked for over 10 minutes. Just like the salt solution, this can be done two times daily until the affected skin starts to peel.




    • Washing with rubbing alcohol


    This is seemingly the easiest and fastest home remedy for dyshidrotic eczema done right after pricking the blisters.


    The combination of milk and oatmeal has been found effective in preventing the spread of dyshidrosis as well as in removing unsightly scale. Meanwhile, the application of flaxseed oil helps in smoothing the scaly parts the skin. Home remedy for dyshidrotic eczema is more effective if combined with some precautionary measures by avoiding triggers and doing the right steps to manage the condition accordingly.


    Dyshidrotic Eczema Pictures

















    Dandy Walker Syndrome

    Dandy Walker Syndrome
    Dandy walker syndrome occurs when there are defects on some parts of the brain, particularly the cerebellum and surrounding areas. This condition causes a wide array of problems that can either be inconspicuous or obvious. People affected by this syndrome have difficulties in controlling their movements; coordination of the eyes and muscles; speaking and understanding language. They tend to have defective organs, such as the kidneys, urinary tract and heart, to name a few.










    Dandy walker syndrome is present at birth and early diagnosis can significantly improve the chances of survival and normal functioning. This differs from patient to patient, though, as each case is unique and life expectancy is cut short for those who are born with several defects or those individuals suffering from health problems.


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  • 3 Occurrence of Dandy Walker Syndrome
  • 4 Treatment of Dandy Walker Syndrome
  • 5 Dandy Walker Syndrome Pictures

  • Causes of Dandy Walker Syndrome


    Dandy Walker syndrome (DWS) is brought about by an abnormal brain development that caused the cerebellum to become defective or abnormally formed, specifically at the posterior part of the brain. In many of DWS cases, some other parts of the cerebellum are defective as well. The abnormalities observed in the cerebellum that lead to the syndrome involve the following:



    • Very small or completely absent cerebellar vermis.  This is a worm-shaped tube that connects the two sides of the cerebellum.



    • Abnormally large posterior fossa or the small part of the skull that houses the cerebellum and brainstem, due to the presence of cyst.



    • Development of cyst in the fluid-filled cavity called fourth ventricle through which fluid coming from the brain passes as it goes to the spinal column.


    The exact cause of the syndrome is still unknown. However, extensive research has revealed sufficient information that has helped in the understanding of the nature of the condition.



    • Genetic mutations


    Mutations in some of the genes of the individuals afflicted with DWS had been observed.



    • Chromosomal abnormalities


    Studies showed that those with DWS have extra copies of some chromosomes, particularly chromosomes 18, 13, 21 or 9. Moreover, the condition has been found to also occur in people born with one extra copy of all chromosomes in every cell.


    Symptoms of Dandy Walker Syndrome


    The cerebellum or the area of the brain that is involved in movement control, coordination and cognition is the defective part in the case of DWS. Persons affected by DWS will have problems in relation to these neurological functions but at varying degrees. These problems may go unnoticed for some people or be very obvious in others.


    Among the problems caused by DWS to include:




    • Delayed motor development


    Babies affected by this syndrome learn to crawl, walk or perform coordinated movements much later than normal babies of their age.




    • Problems with coordination and movement


    There is lack of coordination between muscles resulting in muscle stiffness, unsteadiness, and jerky eye movements. Those afflicted by the condition also seem to be irritable and deal with seizures frequently. Vision and hearing are affected as well.












    • Cognitive defects


    Sufferers experience some measure of intellectual disability which could be mild or severe. These cognitive deficits make it difficult to learn how to speak and understand language.




    • External and internal malformations


    A DWS child has a progressively enlarged skull, causing bigger head circumference. There might likewise be some bulge at the back of the skull. The vast majority of DWS patients have some form of heart defect, abnormal facial appearance, extra fingers or toes, and malformed kidneys or urogenital tract.


    Around 80% of DWS cases are detected during the first 12 months of life. Some develop the symptoms later during childhood.


    Occurrence of Dandy Walker Syndrome


    Statistics show that DWS rarely occurs, affecting approximately 1 child out of 25,000 to 30,000 births. It mostly occurs as a result of random events during the early stages of pregnancy. There are no known risk factors for the syndrome but experts believe that certain things can affect the optimum brain development during pregnancy, hence, resulting in DWS. These include:



    • Rubella infections

    • Toxoplasmosis

    • Exposure to teratogens

    • Diabetes


    Some children inherit the defective gene that causes some of the features of Dander walker syndrome. However, relevant environmental factors should also be present for this to happen.


    Treatment of Dandy Walker Syndrome


    The treatment for the condition aims to provide some measure of relief by addressing the problems associated with it as well as prevent them from aggravating. For instance, there is a swelling on the back part of the skull due to fluid buildup thus causing intracranial pressure. This is dealt with by draining the fluid through inserting a tube into the skull. The intracranial pressure felt will then be reduced. Other accompanying problems are treated as well, including multiple malformations and organ defects. Meanwhile, specialized education can provide the needed support for intellectual or learning disabilities; speech therapy can help the patient speak and understand speech. A patient affected by Dandy Walker syndrome will also benefit from physiotherapy and occupational therapy.


    Dandy Walker Syndrome Pictures