Cyst of the septum pellucidum and Korsakoff's psychosis.

Service of Neurology, Hospital Virgen Del Rocio, Seville, Spain.
European Neurology (Impact Factor: 1.36). 02/1989; 29(2):99-101. DOI: 10.1159/000116387
Source: PubMed

ABSTRACT Noncommunicating cysts of the septum pelludicum are rare and diagnostic experience with CT scan is scanty. They may cause hydrocephalus because of obstruction of Monro's foramina. In this report we describe a young patient with acute Korsakoff's syndrome. The CT scan revealed a cyst of the septum pellucidum without hydrocephalus. Surgery disclosed a noncommunicating cyst compressing structures of the limbic system. After surgery symptoms disappeared.


Available from: Juan Bautista-Lorite, Apr 20, 2014
1 Bookmark
  • [Show abstract] [Hide abstract]
    ABSTRACT: 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.
    Neurologia medico-chirurgica 11/2009; 49(11):549-52. DOI:10.2176/nmc.49.549 · 0.49 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: A 3.5-year-old boy was admitted with febrile convulsion for the first time. The patient had a medical history of in vitro fertilization (IVF) and premature delivery in the 21st week of pregnancy. Further, he suffered from neonatal germinal matrix hemorrhage and intraventricular hematoma (IVH). The patient was treated in the pediatric intensive care unit. Cranial magnetic resonance imaging (MRI) showed resorption of the hematoma with the presence of cavum vergae (CV) variation. The new brain MRI revealed progression of the cavum to a large CV cyst compared with the previous imagings, causing pressure upon both lateral ventricles. Endoscopic fenestration of the lateral walls of the cyst with lateral ventricles was performed. The postoperative period was uneventful and the patient was discharged the next day. Followup MRI one year after surgery showed normal ventricle size, shrinkage of the cyst and cerebrospinal fluid (CSF) flow between the cyst and the lateral ventricles. This is an interesting demonstration of the progression over years of a CV anatomical variation to a large CV cyst in a premature birth case that experienced germinal matrix hemorrhage.
    The Turkish journal of pediatrics 53(5):590-4. · 0.56 Impact Factor
  • Source
    Clinical neurology and neurosurgery 04/2012; 114(7):1052-6. DOI:10.1016/j.clineuro.2012.01.038 · 1.30 Impact Factor