Cavernoma of the septum pellucidum in the region of foramen of Monro

Muzumdar, Dattatraya; Avinash, KM; Ramdasi, Raghvendra

doi:10.4103/0028-3886.152641

Cited by 8 publications

(11 citation statements)

References 11 publications

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“…10 studies were selected using the PRISMA flow diagram and were included in the final analysis. The literature included 10 patients with CMs in the septum pellucidum (Table-1) with a median age of 42 years (range: 16 to 74 years) [4, 3, 5, 6, 7–11]. Of these patients, 8 were male (80%) and 2 were female (20%).…”

Section: Resultsmentioning

confidence: 99%

“…The severity of such clinical features depends on the location and the extent of the size of the entity. Seizure is a common presentation in supratentorial cavernoma, approximately 39-79% of patients with an annual risk of development of 1.5% [7,17,18] In contrast, bleeding is more common in the infratentorial region with a prevalence of 3.8% compared to the supratentorial region, which bears a prevalence of 0.4%. Our analysis demonstrates hemorrhagic complications in 30% and seizure manifestation in 10% of cases, which is quite the opposite of the statistics of supratentorial cavernoma.…”

Section: Discussionmentioning

confidence: 99%

“…Whereas complete excision is the treatment of choice symptomatic patients with mass effect (headache and hydrocephalus, neuro deficit), seizures, recurrent hemorrhages, intractable seizures, and lesions increasing in size. [3,7,20]…”

Section: Discussionmentioning

confidence: 99%

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Cavernoma in septum pellucidum: descriptive analysis and review of existing literature

Haque¹,

Islam²,

Rahman

et al. 2021

Preprint

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Background: Cavernomas are rare central nervous system (CNS) lesions that constitute a distinct type of vascular malformation encountered in the brain parenchyma or ventricular system. A cavernoma can be familial or sporadic forms and exhibit a range of presentation from incidental findings to seizures, headaches, hemorrhage. Septum pellucidum cavernoma is exceedingly rare and should be studied for its unique topographical location and clinical course. Method: We performed a comprehensive literature search and review using multiple databases. the title or abstract and MeSH keywords used included 'cavernoma,' 'cavernous hemangioma,' 'cavernous malformation,' 'cavernous angioma,' 'CM,' 'septum pellucidum,' 'SP' and 'intraventricular,' along with 'AND' and 'OR' operators. Demographic and clinical data of each patient were collected for qualitative synthesis. Result: Reported cases were diagnosed at a median age of 42 years; the most frequent symptom was headaches. The incidence of hemorrhage and hydrocephalus was 30%. Gross total resection was performed in 100% of patients and exhibit clinical improvement. Conclusion: The unique location of the cavernoma exhibits clinical presentations seen and the surgical approach used. Gross total resection conveys the impression of optimum management strategy and leads to a magnificent outcome in most cases.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cavernoma in septum pellucidum: descriptive analysis and review of existing literature

Haque¹,

Islam²,

Rahman

et al. 2021

Preprint

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“…Despite all technological imaging improvements, the precise relationship between the lesion and the ventricular structures and the clot identification, in our case, was best observed by endoscopic view. The microsurgical approach is the more advocated treatment for IVC [ 3 , 10 , 11 ]. Modern microsurgical techniques guarantee a safe and complete resection of IVC, but a high rate of postoperative neurological deficits is still associated with these procedures [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Microsurgical Treatment of Intraventricular Cavernoma with Prior Planning Neuroendoscopy

Nigri¹,

Viana²,

Ferreira-Pinto³

et al. 2018

Case Rep Neurol

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Microsurgery remains the gold standard treatment for intraventricular lesions, but it is not without limitations. The cerebral ventricles approach is considered a challenge for neurosurgeons because of their deep location and their intimate association with critical areas of the brain. It has been shown that direct endoscopic view is superior to magnetic resonance imaging (MRI) in identifying intraventricular structures and lesions. Also, during neuroendoscopy, there is no cerebrospinal fluid leak causing brain collapse as seen in microsurgery. Different surgical strategies should be shared and may improve and facilitate intraventricular lesions resection. Herein, a case of a successful microsurgical cavernoma resection with prior ventriculoscopy is described. A 28-year-old woman was admitted with intense holocranial headache. A mild stiff neck was observed. MRI showed a 3-cm lesion with heterogeneous signal intensity and no contrast enhancement suggestive of cavernoma. Initially, a ventriculoscopy was done to inspect the lesion and the surrounding ventricular structures. After that, a conversion technique from endoscopy to microsurgery was performed. The initial corticectomy was extended and the endoscope pathway was followed into the ventricular cavity. Then, the cavernoma was completely removed by microsurgical technique. No complications were observed. Control MRI showed total tumour removal. The patient remained asymptomatic with no recurrence after 1 year. This case illustrates a successful prior endoscopic approach followed by microsurgery as an alternative to a direct microsurgical approach for intraventricular cavernoma. A previous direct endoscopic view of the lesion and its relation with intraventricular structures may ensure a safe and complete resection by microsurgery.

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“…6 A CV arising from the septum pellucidum is a rare entity, and only four cases have been reported in the international literature. 7 8 9 10 Generally speaking, CVs may be detected incidentally or present with seizures, headaches, or focal neurologic deficits due to hemorrhage. The clinical features largely depend on the location of the CV.…”

mentioning

confidence: 99%

Purely Endoscopic Resection of Cavernoma of the Septum Pellucidum

Baldo

Magrini

Tacconi

2019

Surg J

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The intraventricular location of a cavernoma is a rare entity and accounts for approximately 2.5% of all cavernomas of the central nervous system. They are commonly found in the lateral ventricle followed by the third and fourth ventricles. The location in the septum pellucidum is rare, and only four cases have been reported in the international literature. An open craniotomy was performed in all these cases. To the best of our knowledge, this is the first case of a cavernoma of the septum pellucidum successfully resected using a purely endoscopic transventricular approach.

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Cavernoma of the septum pellucidum in the region of foramen of Monro

Cited by 8 publications

References 11 publications

Cavernoma in septum pellucidum: descriptive analysis and review of existing literature

Cavernoma in septum pellucidum: descriptive analysis and review of existing literature

Microsurgical Treatment of Intraventricular Cavernoma with Prior Planning Neuroendoscopy

Purely Endoscopic Resection of Cavernoma of the Septum Pellucidum

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