Endoscopic Treatment of Symptomatic Cavum Septum Pellucidum

Abstract

Background: We present a patient with symptomatic cavum septum pellucidum that underwent neuroendoscopic fenestration.

Case presentation: The patients, is a 27 -year-old woman, that presented with severe headache neurological exam was normal. Imaging studies demonstrated large septum pellucidum cysts without hydrocephaly. The patients underwent endoscopic transventricular cyst fenestration with rigid endoscope Postoperativelythe patient symptoms resolved immediately.

Conclusion: Cavum septi pellucidi is present in approximately 15 % of adult brains that rarely enlarge and become symptomatic as a result of obstruction of the interventricular foramina, distortion of the vascular structures of the deep venous system .neuroendoscopic fenestration is considere for treatment of CSP. This is a safe and microinvasive approach that can lead to complete resolution of clinical symptoms.