Gazioğlu Nurperi, Kafadar Ali Metin, Abuzayed Bashar
Department of Neurosurgery, Istanbul University Cerrahpaşa Faculty of Medicine, Istanbul, Turkey.
Turk J Pediatr. 2011 Sep-Oct;53(5):590-4.
A 3.5-year-old boy was admitted with febrile convulsion for the first time. The patient had a medical history of in vitro fertilization (IVF) and premature delivery in the 21st week of pregnancy. Further, he suffered from neonatal germinal matrix hemorrhage and intraventricular hematoma (IVH). The patient was treated in the pediatric intensive care unit. Cranial magnetic resonance imaging (MRI) showed resorption of the hematoma with the presence of cavum vergae (CV) variation. The new brain MRI revealed progression of the cavum to a large CV cyst compared with the previous imagings, causing pressure upon both lateral ventricles. Endoscopic fenestration of the lateral walls of the cyst with lateral ventricles was performed. The postoperative period was uneventful and the patient was discharged the next day. Followup MRI one year after surgery showed normal ventricle size, shrinkage of the cyst and cerebrospinal fluid (CSF) flow between the cyst and the lateral ventricles. This is an interesting demonstration of the progression over years of a CV anatomical variation to a large CV cyst in a premature birth case that experienced germinal matrix hemorrhage.
一名3.5岁男童首次因高热惊厥入院。该患者有体外受精（IVF）病史，于妊娠21周早产。此外，他还患有新生儿生发基质出血和脑室内血肿（IVH）。患者在儿科重症监护病房接受治疗。头颅磁共振成像（MRI）显示血肿吸收，伴有透明隔腔（CV）变异。与之前的影像相比，新的脑部MRI显示透明隔腔进展为一个大的CV囊肿，对双侧脑室造成压迫。对囊肿侧壁与侧脑室进行了内镜开窗术。术后过程顺利，患者次日出院。术后一年的随访MRI显示脑室大小正常，囊肿缩小，囊肿与侧脑室之间有脑脊液（CSF）流动。这是一个有趣的案例，展示了在经历生发基质出血的早产病例中，CV解剖变异多年来进展为一个大的CV囊肿的过程。
