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Symptomatic Cavum Septum Pellucidum Cyst: A Rare Presentation
Bharat Pillai1, Umar Farooque2, Mikki Sapkota3
1Neurology, Amrita Institute of Medical Sciences, Kochi, IND.
Cureus
|October 16, 2020
Summary
Symptomatic cysts of the cavum septum pellucidum are rare. Endoscopic fenestration effectively treated a rapidly expanding cyst, resolving severe headaches in a young male patient.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- The cavum septum pellucidum (CSP) is a CSF-filled space between the lateral ventricles, typically an incidental finding on neuroimaging.
- Symptomatic cysts arising from the CSP are exceptionally rare, with limited case reports in medical literature.
Observation:
- A 25-year-old male presented with rapidly worsening headaches refractory to medical management.
- Brain MRI confirmed a rapidly expanding cyst of the septum pellucidum, characterized by significant wall bowing.
Findings:
- Diagnosis of a symptomatic cavum septum pellucidum cyst was confirmed via 3T MRI.
- Therapeutic endoscopic fenestration was performed due to treatment failure with conservative measures.
Implications:
- Endoscopic fenestration offers a viable and effective treatment for symptomatic CSP cysts.
- This intervention led to complete resolution of the patient's refractory headaches, improving quality of life.
Keywords:
cavum septum pellucidumcsf fluid dynamicscyst fenestrationendoscopic repairheadachehydrocephalusintracranial cystneuroendoscopypositional headacherefractory headacheMore Related Videos
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