The clinical character and neuroendoscopic surgery of symptomatic septum pellucidum cyst in children

Objective To explore the clinical character, operation indication and endoscopicsurgical methods of the symptomatic septum pellucidum cyst. Methods Eight children with septum pellucidum cyst who admitted to our hospital from May 2004to June 2011 were enrolled in this study. Results Eight patients(underal in 5cases, bilateral in 3 cases) had significant symptomatic septum pellucidum cysts in pediatric patients were carried out septum pellucidum cyst wall colostomy by neural endoscopic (Zeppelin, Germany). These patients with paroxysmal headache, epilepsy, intermittent fever as the main clinical manifestations, rule out the possibility of other lesions, the maximum width of the septum pellucidum cysts is 12~25 mm in CT and MRI.Followed-up for 5.5 years, 8 cases with postoperative headache has almost disappear and not appeared epileptic seizures. Conclusions Neuroendoscopic cyst-lateral ventricle ventriculostomy for septum pellucidum cysts are the most effective and minimally invasive method, patients with symptomatic septum pellucidum should be treated as soon as possible. Key words: Septum pellucidum cyst; Neuroendoscope; Entriculostomy