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Cavum vergae cyst as a cause of hydrocephalus, “Almost Forgotten”?

Successful stereotactic treatment

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Summary

Cavum vergae cysts (CVC) are cerebral midline malformations, which usually have no clinical manifestations. In rare cases, however, non-communicating cysts can cause hydrocephalus by obstruction of the aqueduct. Initially, from 1930 to 1960 operative treatment consisted in open cysto-ventriculostomy,i.e. establishing a communication between CVC and the ventricles, via a transventricular approach. In the era of CT, symptomatic treatment of the hydrocephalus by ventriculo-atrial or ventriculo-peritoneal sunts is preferred. All the wellknown complications of shunting are encountered. Based on the experience of our cases of CVC with clinical manifestations, we here propose a definitive causal treatment which can be achieved by draining the cyst contents into the ventricles via a stereotactically introduced catheter.

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Author notes

  1. E. Donauer

    Present address: Department of Stereotactic Neurosurgery of the Neurosurgical Clinic of the Saarland University, Homburg, Saar, Germany

Authors and Affiliations

  1. Department of Stereotactic Neurosurgery of the Neurosurgical Clinic of the Saarland University, Homburg, Saar, Germany

    J. R. Moringlane & Chr B. Ostertag

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  1. E. Donauer
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  2. J. R. Moringlane
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  3. Chr B. Ostertag
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Dedicated to Prof. Dr. Friedrich Loew on the occasion of his 65th birthday and the 25th anniversary of the Homburg Neurosurgical University Clinic, which has been founded and built up by him.

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Donauer, E., Moringlane, J.R. & Ostertag, C.B. Cavum vergae cyst as a cause of hydrocephalus, “Almost Forgotten”?. Acta neurochir 83, 12–19 (1986). https://doi.org/10.1007/BF01420502

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