Dilatations of the Cavity of the Septum Pellucidum and Cavum Vergae: Report of Cases

Wagenen, William P. Van; Aird, Robert B.

doi:10.1158/ajc.1934.539

Cited by 61 publications

(16 citation statements)

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“…The hypothesis that this cellular population could result from a progressive metaplasic transformation of the lining glial cells [14,18,37] has not been proven. Various authors [7,36] proposed that the cystic fluid could originate from the cells lining the cavum wall. Our results indicate similar cells to be present in the intact septum pellucidum.…”

Section: Discussionmentioning

confidence: 99%

“…In adults, these "primitive" structures [5] may persist and their prevalence varies significantly depending on the methodological criteria used to diagnose them [31]: The CSP is noted in from 0.14 to 18.9% of cases [1, 3,8,15,17,20,29,30,35] and the CV less frequently (from 0 to 1.3%) [8,301. Since the reports by Dandy [7] and Van Wagenen and Aird [36], it has become customary to distinguish between the non-communicating and the communicating cava, depending on whether the cavum cornmunicates with the cerebral ventricular system or not. In adults, the communicating type of cavum is the most common one as reported in the literature [12,19,26] and is considered to cause no clinical manifestations [12,31,36]. In contrast, the less frequent noncommunicating cava, originally asymptomatic [1, 29,31] may enlarge, obliterate the foramen of Monro and/or the aqueduct of Sylvius and cause symptoms of internal hydrocephalus [9,31].…”

Section: Introductionmentioning

confidence: 99%

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Morphology and immunohistochemistry of a symptomatic septum pellucidum cavum Vergae cyst in man

1997

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The cavum septi pellucidi (CSP) and cavum Vergae (CV) are persistent, primitive, or acquired, midline structures of adult human brain. It is customary to distinguish between the non-communicating and the communicating cava, depending on whether the cavum communicates with the cerebral ventricular system or not. Only a few cases of symptomatic non-communicating cava, called septum pellucidum and cavum Vergae cysts, have been described in the literature. In this study, the authors describe the morphological, histological and histo-immunological characteristics of an additional case of septum pellucidum-cavum Vergae cyst in a forty-year-old man who died the day following a ventriculo-peritoneal shunt. We have found a communication between the CSP and the leptomeningeal space of the anterior interhemispheric fissure, in the absence of subarachnoid haemorrhage. The authors discuss the origin of the intracystic fluid and the classification of the CSP.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Morphology and immunohistochemistry of a symptomatic septum pellucidum cavum Vergae cyst in man

1997

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“…Discussion CSP was first described by F. De Le Boe in 1671 and CV by the Italian anatomist Vergae in 1851 [3] . The management history began with Dandy [1] first excising these lesions at craniotomy more than 80 years ago and a "limited operation" in 1934 by Van Wagenen and Aird [11] who created communication with the ventricular system by a ventricular needle being passed through a simple burr hole. In 1949, Miller did this latter procedure under [12] .…”

Section: Resultsmentioning

confidence: 99%

“…According to Liss and Mervis [25] , 25% consists of 2 separate but closely apposed leaves that delineate a potential space and 25% is the CSP, in which the leaves of the septum are visibly separated by a space of variable size. Congenital perforations and anatomical communications of the septum pellucidum may be present in any of these variations [11,25] . Neither the choroid plexus nor its remnants have been reported in these cavities or cysts [1] .…”

Section: Resultsmentioning

confidence: 99%

An Analysis of Outcome of Endoscopic Fenestration of Cavum Septum Pellucidum Cyst - More Grey than Black and White?

Udayakumaran

Onyia²,

Cherkil³

2017

Pediatr Neurosurg

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Background: Cavum septum pellucidum (CSP) and cavum vergae are actually fluid-filled, generally communicating midline cavities located between the third ventricle and corpus callosum. There have been various reports of their association with many behavioral and psychiatric disorders. Infrequently, they have been associated with an obstructive hydrocephalus-like picture. Although the structure and management of CSP has long been known, it has been an enigma as far as functional significance and management indications are concerned. The authors of this article try to analyze the significance of a persistent cavum and involvement of the same entity in varied presentations ranging from an incidental imaging finding to acute hydrocephalus, and propose a possible implication on the present surgical intervention paradigm. Purpose: To assess the surgical outcome of fenestration of a CSP cyst. Methods: Retrospective analysis of 3 patients who underwent endoscopic fenestration for CSP with obstructive hydrocephalus between 2012 and 2014 was done, and data were analyzed for symptomatic clinical improvement in particular behavior. Results: Pre- and postoperative brain MRI showed a significant decrease in the size of the cyst as well as the ventricles. There were no recurrences during follow-up. All of the patients improved. Conclusions: (1) Endoscopic fenestration of symptomatic CSP cysts is a safe treatment option. (2) Neurocognitive assessment is essential in the evaluation and outcome assessment of CSP.

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“…The communicating type is the most common, 7,10,15) and is considered to be asymptomatic. 7,19,20) In contrast, non-communicating cyst, which could originally be asymptomatic, 18) may enlarge, block the foramen of Monro, and cause symptomatic The check valve phenomenon between the cyst and the subarachnoid cavity may be implicated based on immunohistochemical analysis. 17) The involvement of minor head injury was also implicated in the expansion of CSP.…”

Section: Discussionmentioning

confidence: 99%

Neuroendoscopic Management of Symptomatic Septum Pellucidum Cavum Vergae Cyst Using a High-Definition Flexible Endoscopic System -Case Report-

Nishijima

Fujimura

Nagamatsu

et al. 2009

Neurol. Med. Chir.(Tokyo)

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A 24-year-old man, who had an asymptomatic septum pellucidum cyst incidentally found one year previously, presented with severe headache and right abducens nerve palsy caused by expansion of the midline cyst. Preoperative magnetic resonance (MR) imaging revealed obstructive hydrocephalus due to the enlarged midline cyst. Neuroendoscopic fenestration of the septum pellucidum cyst was successfully performed via a right frontal approach using a high-resolution flexible neuroendoscopic system without complication. Communication between the cyst cavity and bilateral lateral ventricles was constructed via a single trajectory. The entire inner cyst wall could be inspected from the cyst cavity by manipulating the flexible neuroendoscopic system, which excluded the presence of neoplasm. His symptoms were completely relieved after surgery, and postoperative MR imaging showed significant improvement of hydrocephalus and shrinkage of the midline cyst. Septum pellucidum cavum vergae cyst may expand and become symptomatic, so fenestration using a flexible neuroendoscope system may be the optimal method for constructing communication to the bilateral lateral ventricles with minimal invasion.

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Dilatations of the Cavity of the Septum Pellucidum and Cavum Vergae: Report of Cases

Cited by 61 publications

References 1 publication

Morphology and immunohistochemistry of a symptomatic septum pellucidum cavum Vergae cyst in man

Morphology and immunohistochemistry of a symptomatic septum pellucidum cavum Vergae cyst in man

An Analysis of Outcome of Endoscopic Fenestration of Cavum Septum Pellucidum Cyst - More Grey than Black and White?

Neuroendoscopic Management of Symptomatic Septum Pellucidum Cavum Vergae Cyst Using a High-Definition Flexible Endoscopic System -Case Report-

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