{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T07:51:26Z","timestamp":1773215486999,"version":"3.50.1"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T00:00:00Z","timestamp":1639440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Dandy-Walker syndrome is a rare congenital brain malformation characterized by cerebellar vermis agenesis or hypoplasia, cystic dilatation of the fourth ventricle and a large posterior fossa causing upward displacement of tentorium and torcula. In this paper, we present a case of bilateral choanal atresia with Dandy-Walker Syndrome in a female newborn.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We present a case of a female patient who was born at 38th weeks of gestation via emergency cesarean section due to non-reassuring cardiotocography and abnormal antenatal ultrasounds findings. The imaging revealed the presence of Dandy-walker malformation. The patient presented with cyanosis and respiratory distress. Bedside flexible nasoendoscopy revealed bilateral choanal atresia which is confirmed by computed tomography of sinuses. Endoscopic bilateral choanal atresia repair was performed. On postoperative follow up, nasal endoscopy showed bilateral intact flap and patent neochoana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and conclusion:<\/jats:title>\n                    <jats:p>Dandy-Walker syndrome is a congenital disorder that can be diagnosed prenatally. The syndrome is associated with multiple anomalies. However, there are few published reports of bilateral choanal atresia in Dandy-Walker Syndrome. Bilateral choanal atresia is considered a life-threatening condition in newborns that requires early surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2021.106702","type":"journal-article","created":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T03:49:04Z","timestamp":1639972144000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Dandy-Walker syndrome with bilateral choanal atresia"],"prefix":"10.1097","volume":"90","author":[{"given":"Raghad K.","family":"Alsalamah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mazyad M.","family":"Alenezi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahad","family":"Alsaab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-57-20260310","first-page":"1051","article-title":"Anatomic variants in Dandy-Walker complex","volume":"58","author":"Jurc\u0103","year":"2017","journal-title":"Romanian J. 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Rhinol"},{"key":"R8-57-20260310","doi-asserted-by":"crossref","first-page":"33","DOI":"10.4103\/0971-6866.64936","article-title":"Dandy-Walker malformation: an incidental finding","volume":"16","author":"Tadakamadla","year":"2010","journal-title":"Indian J. Hum. Genet"},{"key":"R9-57-20260310","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1053\/j.sult.2011.02.010","article-title":"Prenatal imaging of congenital malformations of the brain","volume":"32","author":"Kline-Fath","year":"2011","journal-title":"Semin. Ultrasound CT MRI"},{"key":"R10-57-20260310","doi-asserted-by":"crossref","first-page":"2009","DOI":"10.1002\/ajmg.a.37124","article-title":"Risk factors for Dandy-Walker malformation: a population-based assessment","volume":"167A","author":"Reeder","year":"2015","journal-title":"Am. J. Med. Genet. Part A"},{"key":"R11-57-20260310","doi-asserted-by":"crossref","first-page":"52","DOI":"10.3389\/fped.2015.00052","article-title":"Current updates on choanal atresia","volume":"3","author":"Kwong","year":"2015","journal-title":"Front. Pediatr"},{"key":"R13-57-20260310","doi-asserted-by":"crossref","first-page":"1268","DOI":"10.1093\/hmg\/ddx031","article-title":"Rdh10 loss-of-function and perturbed retinoid signaling underlies the etiology of choanal atresia","volume":"26","author":"Kurosaka","year":"2017","journal-title":"Hum. Mol. Genet"},{"key":"R14-57-20260310","first-page":"009","article-title":"A rare case of dandy-walker syndrome with bilateral choanal atresia: a case report","volume":"1","author":"Hemmatipour","year":"2020","journal-title":"Onkol i Radioter"},{"key":"R15-57-20260310","doi-asserted-by":"crossref","first-page":"65","DOI":"10.7863\/jum.1988.7.2.65","article-title":"The Dandy-Walker malformation prenatal sonographic diagnosis and its clinical significance","volume":"7","author":"Nyberg","year":"1988","journal-title":"J. Ultrasound Med"},{"key":"R16-57-20260310","first-page":"348","article-title":"Treatment options for Dandy-Walker malformation","volume":"05","author":"Mohanty","year":"2006","journal-title":"J. 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