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首页> 外文期刊>British journal of neurosurgery >Cavum septi pellucidi cysts: a survey about clinical indications and surgical management strategies
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Cavum septi pellucidi cysts: a survey about clinical indications and surgical management strategies

机译：Cavum Septi Pellucidi囊肿：关于临床适应症和手术管理策略的调查

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Introduction: Cavum septi pellucidi (CSP) cysts have a very low incidence (0.04%). Symptomatic patients usually present aspecific symptoms. For this reason, the management of these patients is still debated.Materials and methods: We selected the case of a ten year old patient, with a clinical history of frontal morning headaches and difficulty in concentration. Brain MRI documented a septum pellucidum cyst and a moderate biventricular dilation. We submitted the case, and a questionnaire concerning indications to surgery and management options to an international group of 54 pediatric neurosurgeons, analyzing the results and comparing them with the current literature.Results: The majority of the participants (50%) indicated as appropriate at the early stage only a clinical observation. In case of persistence of clinical symptoms, 58% opted for intracranial pressure (ICP) monitoring, which, if raised, was considered by 91% as an adequate indication to proceed with surgical treatment. A total of 98% of the participants indicated endoscopic fenestration of the cyst as the preferred surgical strategy.Conclusions: The management of symptomatic patients with CSP cyst is controversial. Our results suggest that in most of the patients with aspecific symptoms, clinical observation and eventually ICP monitoring are adequate to identify patients for surgery.
机译：简介：捕气性静止术（CSP）囊肿具有非常低的发病率（0.04％）。症状患者通常存在缺陷症状。出于这个原因，这些患者的管理仍然是争论。材料和方法：我们选择了十岁患者的案例，临床历史的正面早晨头痛和浓度难以集中。脑MRI记录了隔膜薄膜囊肿和中等的生物型扩张。我们提交了该案件，以及对国际54个儿科神经外科的国际组织，分析结果并将其与当前文献进行分析的调查问卷。结果：参与者的大多数（50％）适当表示早期仅临床观察。在临床症状持续存在的情况下，58％选择颅内压（ICP）监测，如果筹集，则被认为是91％的含量，以进行外科治疗。共有98％的参与者表明囊肿的内窥镜失效作为优选的手术策略。结论：CSP囊肿的症状患者的管理是有争议的。我们的研究结果表明，在大多数患者的患者中，临床观察和最终ICP监测足以识别手术患者。

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