Symptomatic cysts of the cavum septi pellucidi, cavum vergae and cavum veli interpositi: A retrospective duocentric study of 10 patients

Krejčí, Tomáš; Vacek, Petr; Krejčí, Ondřej; Chlachula, Martin; Szathmaryová, Silvia; Lipina, Radim

doi:10.1016/j.clineuro.2019.105494

Cited by 7 publications

(6 citation statements)

References 26 publications

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“…2,9,[14][15][16][17] In the presence of cavum septi pellucidi, the surgical approach is simplified in that the cyst is dorsally surrounded by CSF; the fornices may be further distinctly separated and identified. [18][19][20][21][22] Because of their growth patterns, these cysts tend to have a larger average size at presentation, even though the likelihood that these cysts become symptomatic is similar to that of (smaller) transforaminal cysts. This paradox is logical owing to rostral growth away from the foraminal apertures and third ventricular compartment.…”

Section: Discussionmentioning

confidence: 99%

Transseptal interforniceal endoscopic removal of superiorly recessed colloid cysts

Tosi

Uribe-Cardenas

Lara‐Reyna

et al. 2022

Journal of Neurosurgery

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OBJECTIVE Transforaminal endoscopic colloid cyst resection is well described. However, some anatomical colloid cyst variants may warrant a modified approach. Rarely, colloid cysts separate the forniceal columns and grow superiorly within the leaflets of the septum pellucidum. Thus, the authors’ goal was to characterize the imaging features, clinical presentation, surgical strategy, and outcomes of patients with this superiorly recessed colloid cyst variant. METHODS A retrospective evaluation of patients who underwent endoscopic resection of colloid cysts from 1999 to 2020 was performed. The patients were dichotomized depending on whether the cyst was located predominately below the forniceal columns or was superiorly recessed (forniceal column separation with variable intraseptal extension). This comparative cohort study focused on clinical presentation, imaging features, operative technique, and patient outcome. RESULTS In total, 182 patients were identified. Seventeen patients had colloid cysts that were defined as superiorly recessed and underwent transseptal interforniceal removal, and 165 patients underwent a standard transforaminal approach. Patients had similar demographic characteristics. However, transseptal cysts were on average larger (17.8 mm vs 11.4 mm, p < 0.0001), and these patients had a greater frontal-occipital horn ratio (0.45 vs 0.41, p = 0.012). They were also more likely to have undergone a previous resection (p = 0.02). The two cohorts had similar surgical outcomes, with no differences in extent of resection, recurrence, or complications. CONCLUSIONS Superiorly recessed intraseptal colloid cysts are larger and tend to splay the bodies of the fornix, thus requiring a parasagittal transseptal interforniceal endoscopic approach. This achieves complete removal with comparatively negligible morbidity or rare recurrence (5.9%).

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Section: Discussionmentioning

confidence: 99%

Transseptal interforniceal endoscopic removal of superiorly recessed colloid cysts

Tosi

Uribe-Cardenas

Lara‐Reyna

et al. 2022

Journal of Neurosurgery

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“…The pathophysiological mechanism for CVI cystic dilatation is unclear and it is also unclear whether isolated CVI cysts are a normal variant or developmental malformations. Clinical manifestations of CVI cysts have been described as headache, epilepsy, memory and behavioural disturbances and ophthalmological manifestations such as strabismus [2] . We describe the ophthalmological and neurological findings in a girl who was referred to the ophthalmology department for intermittent decrease in vision, without complete loss of vision.…”

Section: Dear Editormentioning

confidence: 99%

Unilateral blurred vision in pediatric patient associated with cavum velum interpositum cyst

Zamorano,

Blanco-Velasco,

Fernández

et al. 2023

Int J Ophthalmol

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“…3 4 These include headaches, visual impairment, seizures, and autonomous system disorders such as mood swings, erratic behavior, memory impairment, delayed development, learning difficulties, anorexia, weight loss, and incontinence. 3 5 Endoscopic fenestration is currently the preferred first-line treatment for symptomatic cysts. 3 6 With this case report, we add our own experience of the spontaneous regression of a symptomatic cyst of CSP, including detailed discussion of the causes of this rare phenomenon.…”

Section: Introductionmentioning

confidence: 99%

“…3 5 Endoscopic fenestration is currently the preferred first-line treatment for symptomatic cysts. 3 6 With this case report, we add our own experience of the spontaneous regression of a symptomatic cyst of CSP, including detailed discussion of the causes of this rare phenomenon.…”

Section: Introductionmentioning

confidence: 99%

“…1 2 Clinical symptoms can be expected in cysts more than 10 mm wide (those smaller than this have not thus far proved to be symptomatic). 3 4 These include headaches, visual impairment, seizures, and autonomous system disorders such as mood swings, erratic behavior, memory impairment, delayed development, learning difficulties, anorexia, weight loss, and incontinence. 3 5 Endoscopic fenestration is currently the preferred first-line treatment for symptomatic cysts.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous Regression of a Symptomatic Cyst of the Cavum Septi Pellucidi and Vergae

Krejčí

Lipina

2022

J Neurol Surg A Cent Eur Neurosurg

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Spontaneous regression of cysts of the cavum septi pellucidi (CSP) and cavum Vergae (CV) is rare and little-discussed. The authors present their case report of this phenomenon following a severe headache in a 23-year-old female patient, in whom MRI had previously confirmed signif-icant thinning of the left lateral cyst wall. We consider this findingto be a possible predisposing factor to rupture and the spontaneous regression of such cysts. In addition to the mechanism of cystic regression, the interrelated causes of their expansion and formation will be discussed.

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Symptomatic cysts of the cavum septi pellucidi, cavum vergae and cavum veli interpositi: A retrospective duocentric study of 10 patients

Cited by 7 publications

References 26 publications

Transseptal interforniceal endoscopic removal of superiorly recessed colloid cysts

Transseptal interforniceal endoscopic removal of superiorly recessed colloid cysts

Unilateral blurred vision in pediatric patient associated with cavum velum interpositum cyst

Spontaneous Regression of a Symptomatic Cyst of the Cavum Septi Pellucidi and Vergae

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