We describe two infants in whom rhombencephalosynapsis was diagnosed w
ith MR imaging in vivo. In contrast to Dandy-Walker malformation, the
vermian maldevelopment in this anomaly is characterized by an absence
of the anterior vermis and a deficiency of the posterior vermis. The c
erebellar hemispheres are fused. In an attempt to identify the pathoge
nesis of these anatomic manifestations, we question the traditional co
ncept of the embryologic development of the cerebellar primordium.