VATER Syndrome: A Case Report.
- Author:
Jeong Mee PARK
1
;
Sung Joo KWON
;
Ju Ryung KIM
;
Yong Jin KIM
;
Dong Uk LEE
Author Information
1. Department of Rehabilitation Medicine, Yonsei University Wonju College of Medicine, Wonju 220-701, Korea. crazyubg@nate.com
- Publication Type:Case Report
- Keywords:
VATER syndrome;
VATER association
- MeSH:
Anus, Imperforate;
Atrophy;
Cerebral Cortex;
Corpus Callosum;
Esophageal Atresia;
Esophagus;
Extremities;
Female;
Fistula;
Heart Defects, Congenital;
Humans;
Hydrocephalus;
Hydronephrosis;
Kidney;
Muscle Spasticity;
Natural History;
Physical Examination;
Radius;
Reflex, Stretch;
Ribs;
Spinal Dysraphism;
Spine;
Trachea;
Vascular Malformations
- From:Journal of the Korean Academy of Rehabilitation Medicine
2011;35(1):158-161
- CountryRepublic of Korea
- Language:English
-
Abstract:
VATER syndrome is defined as the combinations of three or more of the followings; Vertebral defect, Anal atresia, Esophageal atresia and/or Tracheo-Esophageal fistula, Renal dysplasia, and Radial-ray limb anomalies. A 21-month old female patient was admitted. She had the history of anastomosis of trcheo-esophageal fistula, V-P shunt operation due to hydrocephalus, and spina bifida. Upon admission, physical examinations showed increased deep tendon reflexes of all four extremities with grade 1 spasticity and popliteal angle being 45 degrees, bilaterally. The overall development of the patient was delayed. The imaging study showed hydrocephalus, periventricular leukomalatic change, underdevelopment of the cerebral cortex, atrophy of corpus callosum, Arnold-Chiary malformation, a vascular malformation along the intradural space from lower cervical to nearly entire thoracic vertebral level, multiple vertebral anomalies, and the fusion of multiple ribs. Furthermore hydronephrosis of the left kidney was detected. Follow-up of natural history and management of the patient is needed.
