Cysts of septum pellucidum, cavum vergae and cavum veli interpositi. Meta-analysis of 368 cases

Cavum septum pellucidum and vergae cyst: A symptomatic case with intracranial hypertension and multiple nerve involvement

“…In a meta-analysis performed with 368 patients, the following signs and symptoms were analyzed: headache (n = 184; 50%) and convulsive syndrome (n = 87; 23.6%); reduced intelligence/delayed psychomotor development (n = 74; 20.1%); mental disorders (n = 58;15.8%); dizziness, nausea, and vomiting (n = 40; 10.9%); impaired consciousness (n = 36; 9.8%); gait disorders (n = 33; 9%); visual impairment (n = 31; 8.4%); optic nerve swelling (n = 17; 4.6%); cranial nerve dysfunction (n = 15; 4%); and hydrocephalus (n = 61; 16.6%). [6] e main clinical findings (headache, signs and symptoms related to hydrocephalus, nausea, and vomiting) were observed in the present study, which may demonstrate a typical course of the disease. In contrast, the involvement of cranial nerves (III, VI, and VII) of our patient is evidenced as a rare manifestation, according to Kryukov et al (2020).…”

“…[6] e main clinical findings (headache, signs and symptoms related to hydrocephalus, nausea, and vomiting) were observed in the present study, which may demonstrate a typical course of the disease. In contrast, the involvement of cranial nerves (III, VI, and VII) of our patient is evidenced as a rare manifestation, according to Kryukov et al (2020). Despite the complaint of cervicobrachial pain, findings in the MRI that could justify this, such as downward displacement of the cerebellum or compression of the cervical root, were not observed.…”

“…However, when symptoms such as headache, behavioral disorders, cognitive impairment, convulsive syndrome, dizziness, hydrocephalus, nausea, and vomiting occur due to its presence, it is even rarer. [3,6,12] e aim of this case report is to show exquisite clinical features of a symptomatic CSP and CV cyst in a young patient, successfully treated with neuroendoscopic fenestration and foraminoplasty.…”

“…Nonetheless, 12% of children between 6 months and 16 years of age may continue to have it. [ 3 , 6 , 8 ] According to Chen et al ., 19,031 patients (from 0 to 99 years old and averaging 52.6 years old) were studied and 177 (0.93%) had CSP and/or CV. CSP with CV was found in 169 (95.5%) of these.…”

“…However, when symptoms such as headache, behavioral disorders, cognitive impairment, convulsive syndrome, dizziness, hydrocephalus, nausea, and vomiting occur due to its presence, it is even rarer. [ 3 , 6 , 12 ]…”