Septum Pellucidum Cavernoma: A Case Report and Anatomical Consideration of an Extremely Rare Lesion

Cavernous angiomas (cavernomas) are vascular malformations of the brain characterized by abnormal capillaries. Ventricularcavernomas are considered rare; however, an extremely unusual topography is the septum pellucidum, with only five reported casesin the English literature. These malformations may rupture and cause very large hematomas, leading to neurological impairment.Cavernomas can be familial or sporadic; additionally, these may appear following brain radiotherapy in extremely rare cases.Herein, we present an extremely rare and unique case of a septum pellucidum cavernoma that occurred in a young male who hadpreviously undergone brain radiotherapy in childhood due to acute lymphoid leukemia. Following presentation, he was diagnosedwith generalized seizures. The cavernoma was resected via an anterior interhemispheric transcallosal approach, following which thepatient remained stable without neurological sequelae.To conclude, ventricular cavernomas are rare lesions, especially when located at the septum pellucidum, thus constitute achallenging neurosurgical approach.

Kaynakça

1. Faropoulos K, Panagiotopoulos V, Partheni M, Tzortzidis F, Konstatinou D: Therapeutic management of intraventricular cavernoma: Case series and review of the literature. J Neurol Surg 76:233–239, 2015

2. Finkelburg R: Zur Differential diagnose zwischen kleinhirntumoren und chronischen hydrocephalus. (Zugleich ein beitrag zur kenntnis der angiome des zentral nerven systems). Dtsch Z Nervenheilkd 29:135–151, 1905

3. Heckl S, Aschoff A, Kunze S: Radiation-induced cavernous hemangiomas of the brain: A late effect predominantly in children. Cancer 94: 3285-3291, 2002

4. Kasliwal MK, Sharma BS: Giant intraventricular mass arising from the septum pellucidum. Journal of Clinical Neuroscience 18: 1108, 2011

5. Katoha M, Sawamurab Y, Moriwaki T, Yoshino M, Aoki T, Abumyia T, Imamura H, Aida T: A case of cavernous angioma in the septum pellucidum. Clinical Neurology and Neurosurgery 115: 1126– 1127, 2013

6. Mouchtouris N, Chalouhi N, Chitale A, Starke RM, Tjoumakaris SI, Rosenwasser RH, Jabour PM: Management of cerebral cavernous malformations: From diagnosis to treatment. Scientific World Journal 2015:808314, 2015

7. Muzumdar D, Avinash KM, Ramdasi R: Cavernoma of the septum pellucidum in the region of foramen of Monro. Neurology India 63:68-71, 2015

8. Picolas C, Faropoulos K, Kekempanou K, Gatzounis G: Case report of a septum pellucidum cavernoma surgically resected via inferior parietal approach and short literature review. Open Journal of Modern Neurosurgery 6:68-75, 2016

9. Vitorino-Araújo JL, Veiga JCE, Wen HT, de Andrade AF, Teixeira MF, Otoch JP, Rhoton AL Jr, Preul MC, Spetzler RF, Figueiredo EG: Comparative anatomiscal analysis of the transcallosaltranschoroidal and transcallosal-transforniceal-transchoroidal approaches to the third ventricle. Journal of Neurosurgery 4:1-10, 2016

Kaynak Göster

Turkish Neurosurgery
  • ISSN: 1019-5149
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1989

4711

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