engleski

NEUROENDOSCOPIC TREATMENT OF SYMPTOMATIC SEPTUM PELLUCIDUM CYSTS

Introduction: Septum pellucidum cysts are more often seen as an accidental radiological finding, but symptomatic cysts are rare. Authors present our experience in treating symptomatic septum pellucidum cysts using endoscopic fenestration. Materials and methods: Authors describe five patients with symptomatic septum pellucidum cysts. All patients presented with progressive intense headache, associated with vomiting in two patients, and behavioral mental changes in two patients. One of them had sequelae of epileptic seizure. Results: In four patients was performed endoscopic fenestration through frontal approach. One patient was operated on via occipital approach. In all patients we performed unilateral cyst fenestration, and in three patients, additionally, was performed fenestration of the cyst into third ventricle and third ventriculostomy. In the patient operated on using occipital approach we performed fenestration of the cyst into both lateral ventricles, so-called two-window technique. Conclusion: Endoscopic fenestration is a preferable treatment for symptomatic septum pellucidum cysts. Minimal invasiveness of the procedure allows patients fast recovery and return to every day activities.

endoscopy; septum pellucidum cyst

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