Conservative treatment of cysts of the cavum septum pellucidum presenting in childhood: report of 3 cases

被引:7
作者
Bot, Gyang Markus [1 ]
Constantini, Shlomi [1 ]
Roth, Jonathan [1 ]
机构
[1] Tel Aviv Univ, Dana Childrens Hosp, Tel Aviv Med Ctr, Dept Pediat Neurosurg, IL-69978 Tel Aviv, Israel
关键词
cavum septum pellucidum; cyst; conservative; childhood; congenital; SPONTANEOUS RESOLUTION; ENDOSCOPIC FENESTRATION; SPONTANEOUS REGRESSION; SYMPTOMATIC CYST; 5TH VENTRICLE; PREVALENCE; MANAGEMENT; HEADACHE; CHILDREN;
D O I
10.3171/2015.3.PEDS14714
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Cavum septum pellucidum (CSP) cysts are relatively rare. The most common presenting symptom is headache, which is thought to be secondary to elevated intracranial pressure. Many CSP cysts are treated surgically; conservative treatment is seldom recommended. The authors describe 3 cases of pediatric CSP cysts that were managed without surgery. The patients ranged in age from 5 months to 8 years old. Two presented with headaches, which were associated with mild ventricular enlargement in 1 case. Over the course of 5-15 months, 2 cysts became markedly reduced in size, and in one of these 2 cases a substantial reduction in ventricle size was also observed. At last follow-up, all 3 children were asymptomatic. The authors note that CSP cysts are often associated with headaches. In the absence of hydrocephalus, they recommend conservative management with clinical and radiological follow-up.
引用
收藏
页码:283 / 286
页数:4
相关论文
共 26 条
[1]  
ABOULKER J, 1968, NEUROCHIRURGIE, V14, P901
[2]   Prevalence of headache and migraine in children and adolescents: a systematic review of population-based studies [J].
Abu-Arafeh, Ishaq ;
Razak, Sheik ;
Sivaraman, Baskaran ;
Graham, Catriona .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2010, 52 (12) :1088-1097
[3]   Prevalence and natural history of pineal cysts in adults Clinical article [J].
Al-Holou, Wajd N. ;
Terman, Samuel W. ;
Kilburg, Craig ;
Garton, Hugh J. L. ;
Muraszko, Karin M. ;
Chandler, William F. ;
Ibrahim, Mohannad ;
Maher, Cormac O. .
JOURNAL OF NEUROSURGERY, 2011, 115 (06) :1106-1114
[4]   SYMPTOMATIC CYST OF THE SEPTUM PELLUCIDUM [J].
AMIN, BH .
CHILDS NERVOUS SYSTEM, 1986, 2 (06) :320-322
[5]   CYST OF THE SEPTUM PELLUCIDUM PRESENTING AS HEMIPARESIS [J].
AOKI, N .
CHILDS NERVOUS SYSTEM, 1986, 2 (06) :326-328
[6]   Placebo and other psychological interactions in headache treatment [J].
Autret, A. ;
Valade, D. ;
Debiais, S. .
JOURNAL OF HEADACHE AND PAIN, 2012, 13 (03) :191-198
[7]   Cavum septum pellucidum cyst in children: a case-based update [J].
Borha, Alin ;
Ponte, Keven F. ;
Emery, Evelyne .
CHILDS NERVOUS SYSTEM, 2012, 28 (06) :813-819
[8]   Navigator system-assisted endoscopic fenestration of a symptomatic cyst in the septum pellucidum - technique and cases report [J].
Chiu, CD ;
Huang, WC ;
Huang, MC ;
Wang, SJ ;
Shih, YH ;
Lee, LS .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2005, 107 (04) :337-341
[9]   Congenital cerebral cysts of the cavum septi pellucide (fifth ventricle) and cavum vergae (sixth ventricle) [J].
Dandy, WE .
ARCHIVES OF NEUROLOGY AND PSYCHIATRY, 1931, 25 (01) :44-66
[10]   Spontaneous resolution of a prepontine arachnoid cyst - Case report and review of the literature [J].
Dodd, RL ;
Barnes, PD ;
Huhn, SL .
PEDIATRIC NEUROSURGERY, 2002, 37 (03) :152-157