Characteristic and Management of Symptomatic Septum Pellucidum Cyst in Extreme Elderly Patient: Case Report and Literature Review

Septum pellucidum cyst is rare and is defined as a fluid-filled space between the lateral ventricles; it has a width of 10 mm or more. In this case report, a surgical patient of symptomatic septum pellucidum cyst (SPC) in extreme age is described. To the best our knowledge, this is the first report...

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Autores principales: IKEDA, Naokado, TAMURA, Yoji, MATSUSHITA, Yoko, KANEMITSU, Takuya, NONOGUCHI, Naosuke, FURUSE, Motomasa, KAWABATA, Shinji, TAKAMI, Toshihiro, KUROIWA, Toshihiko, WANIBUCHI, Masahiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8906833/
https://www.ncbi.nlm.nih.gov/pubmed/35340330
http://dx.doi.org/10.2176/jns-nmc.2021-0342
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author IKEDA, Naokado
TAMURA, Yoji
MATSUSHITA, Yoko
KANEMITSU, Takuya
NONOGUCHI, Naosuke
FURUSE, Motomasa
KAWABATA, Shinji
TAKAMI, Toshihiro
KUROIWA, Toshihiko
WANIBUCHI, Masahiko
author_facet IKEDA, Naokado
TAMURA, Yoji
MATSUSHITA, Yoko
KANEMITSU, Takuya
NONOGUCHI, Naosuke
FURUSE, Motomasa
KAWABATA, Shinji
TAKAMI, Toshihiro
KUROIWA, Toshihiko
WANIBUCHI, Masahiko
author_sort IKEDA, Naokado
collection PubMed
description Septum pellucidum cyst is rare and is defined as a fluid-filled space between the lateral ventricles; it has a width of 10 mm or more. In this case report, a surgical patient of symptomatic septum pellucidum cyst (SPC) in extreme age is described. To the best our knowledge, this is the first report of an extremely aged patient with symptomatic SPC that was successfully treated using a flexible neuroendoscope. An 85-year-old male complained of gradually worsening gait disturbance, dementia, and urinary incontinence without headache and was admitted to our hospital. MRI revealed a huge cyst between the lateral ventricles as well as ventricle dilatation with periventricular hyperintensity in T2-weighted image. The patient was diagnosed with symptomatic hydrocephalus with SPC and underwent neuroendoscopic fenestration of the cyst with the use of a flexible endoscope without cerebrospinal fluid shunt placement. Immediately after the surgery, the patient's gait disturbance and dementia were dramatically improved. In extremely aged patients, SPC tended to develop with idiopathic normal pressure hydrocephalus-like symptoms, including gait disturbance without increasing intracranial pressure, sensorimotor disturbances, and psychological disorders. Neuroendoscopic cyst fenestration with the use of a flexible scope for SPC is a less-invasive procedure and should be considered even for extreme elderly symptomatic patients.
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spelling pubmed-89068332022-03-25 Characteristic and Management of Symptomatic Septum Pellucidum Cyst in Extreme Elderly Patient: Case Report and Literature Review IKEDA, Naokado TAMURA, Yoji MATSUSHITA, Yoko KANEMITSU, Takuya NONOGUCHI, Naosuke FURUSE, Motomasa KAWABATA, Shinji TAKAMI, Toshihiro KUROIWA, Toshihiko WANIBUCHI, Masahiko NMC Case Rep J Case Report Septum pellucidum cyst is rare and is defined as a fluid-filled space between the lateral ventricles; it has a width of 10 mm or more. In this case report, a surgical patient of symptomatic septum pellucidum cyst (SPC) in extreme age is described. To the best our knowledge, this is the first report of an extremely aged patient with symptomatic SPC that was successfully treated using a flexible neuroendoscope. An 85-year-old male complained of gradually worsening gait disturbance, dementia, and urinary incontinence without headache and was admitted to our hospital. MRI revealed a huge cyst between the lateral ventricles as well as ventricle dilatation with periventricular hyperintensity in T2-weighted image. The patient was diagnosed with symptomatic hydrocephalus with SPC and underwent neuroendoscopic fenestration of the cyst with the use of a flexible endoscope without cerebrospinal fluid shunt placement. Immediately after the surgery, the patient's gait disturbance and dementia were dramatically improved. In extremely aged patients, SPC tended to develop with idiopathic normal pressure hydrocephalus-like symptoms, including gait disturbance without increasing intracranial pressure, sensorimotor disturbances, and psychological disorders. Neuroendoscopic cyst fenestration with the use of a flexible scope for SPC is a less-invasive procedure and should be considered even for extreme elderly symptomatic patients. The Japan Neurosurgical Society 2022-02-23 /pmc/articles/PMC8906833/ /pubmed/35340330 http://dx.doi.org/10.2176/jns-nmc.2021-0342 Text en © 2022 The Japan Neurosurgical Society https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License.
spellingShingle Case Report
IKEDA, Naokado
TAMURA, Yoji
MATSUSHITA, Yoko
KANEMITSU, Takuya
NONOGUCHI, Naosuke
FURUSE, Motomasa
KAWABATA, Shinji
TAKAMI, Toshihiro
KUROIWA, Toshihiko
WANIBUCHI, Masahiko
Characteristic and Management of Symptomatic Septum Pellucidum Cyst in Extreme Elderly Patient: Case Report and Literature Review
title Characteristic and Management of Symptomatic Septum Pellucidum Cyst in Extreme Elderly Patient: Case Report and Literature Review
title_full Characteristic and Management of Symptomatic Septum Pellucidum Cyst in Extreme Elderly Patient: Case Report and Literature Review
title_fullStr Characteristic and Management of Symptomatic Septum Pellucidum Cyst in Extreme Elderly Patient: Case Report and Literature Review
title_full_unstemmed Characteristic and Management of Symptomatic Septum Pellucidum Cyst in Extreme Elderly Patient: Case Report and Literature Review
title_short Characteristic and Management of Symptomatic Septum Pellucidum Cyst in Extreme Elderly Patient: Case Report and Literature Review
title_sort characteristic and management of symptomatic septum pellucidum cyst in extreme elderly patient: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8906833/
https://www.ncbi.nlm.nih.gov/pubmed/35340330
http://dx.doi.org/10.2176/jns-nmc.2021-0342
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