J Korean Acad Rehabil Med.  2011 Feb;35(1):158-161.

VATER Syndrome: A Case Report

• Park JM
• Kwon SJ
• Kim JR
• Kim YJ
• Lee DU

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.

Keyword

VATER syndrome; VATER association

MeSH Terms

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
Anus, Imperforate
Esophagus
Heart Defects, Congenital
Radius
Spine
Trachea