Meningomyelocele with Dandy Walker or Arnold Chiari - USMLE Forums
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Old 12-26-2011
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Neuro Meningomyelocele with Dandy Walker or Arnold Chiari

Hi all,
I was recently doing a Kaplan question that asked which additional neural malformation was likely to co-exist with a meningomyelocele. I chose Arnold-Chiari, but the correct answer was Dandy Walker. From Robbins Pathologic Basis of Disease and Wikipedia, it seems like lumbosacral meningomyeloceles commonly present with Chiari 2 malformations, but I cannot find anything relating meningomyeloceles to Dandy-Walker malformations. Help?
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Old 02-18-2012
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Default Always trust the reputed sources.

Hey there,
Wasn't an expert on the topic but I reviewed similar sources and found out the same that you did (ACM).
My personal opinion is, alway trust the more reputed sources in case of a dispute. I don't think anyone in the world will have the juice to challenge a piece of information from books like Robbins. This goes especially for questions like these which are factual and have no logic involved.

All the best.
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Old 02-18-2012
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Goljan RR says meningiomyelocele is a/w Arnold chiari malformation and also Syringomyelia.
Caudal extension of medulla and cerebellar vermis thru Foramen magnum and flattening of base of skull main manifestations of Arnold Chiari malformations
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