Cavum vergae cyst as a cause of hydrocephalus, ?Almost Forgotten??

Abstract

Cavum vergae cysts (CVC) are cerebral midline malformations, which usually have no clinical manifestations. In rare cases, however, non-communicating cysts can cause hydrocephalus by obstruction of the aqueduct. Initially, from 1930 to 1960 operative treatment consisted in open cysto-ventriculostomy, i.e. establishing a communication between CVC and the ventricles, via a transventricular approach. In the era of CT, symptomatic treatment of the hydrocephalus by ventriculo-atrial or ventriculo-peritoneal shunts is preferred. All the wellknown complications of shunting are encountered. Based on the experience of our cases of CVC with clinical manifestations, we here propose a definitive causal treatment which can be achieved by draining the cyst contents into the ventricles via a stereotactically introduced catheter.

Cavum Septum Pellucidum Which was Diagnosed After Septoplasty and Adenoidectomy Operation Under General Anesthesia: Case Report

“…CV was first defined by Italian anatomist Vergae in 1851 and was later identified as the 6th ventricle. 5,9 Cavity wall contains glial fibers, astrocytes and subarachnoid cells. 5,9 The source of the liquid in the cavity is controversial.…”

“…5,9 Cavity wall contains glial fibers, astrocytes and subarachnoid cells. 5,9 The source of the liquid in the cavity is controversial. Some authors have suggested that these cells arise from residual subarachnoid fluid.…”

“…5 Treatment methods of these lesions which have been and still being applied are kiston-ventriculostomy with craniotomy, kiston-peritoneal shunt, and stereotactic kiston-shunt applications.…”

“…[1][2][3][4][5][6] They rarely create significant neurological dysfunctions. These cysts usually carry no clinical importance.…”

Stereotactically GuidedE ndoscopy for the Treatment of Arachnoid Cysts

“…Arachnoid cysts are well known to the neurosurgeon, and the evolution of their surgical treatment has followed technological advances, the following techniques have been applied: (a) cyst shunting [1][2][3][4]; (b) craniotomy and marsupialization into the subarachnoid space, basal cisterns, or cerebral ventricles [1][2][3][5][6][7], and (c) recently, cyst fenestration using stereotactically guided [4,8] or free-hand endoscopic techniques [9][10][11][12][13][14][15]. Endoscopy maintains the basic surgical strategy of cyst marsupialization without the invasiveness of open craniotomy, while avoiding the complications caused by shunting.…”