Saryyeva Assel, Nakamura Makoto, Capelle Hans-Holger, Krauss Joachim K
Department of Neurosurgery, Hannover Medical School, Hannover, Germany.
Stereotact Funct Neurosurg. 2012;90(1):59-62. doi: 10.1159/000334672. Epub 2012 Jan 24.
Persistent midline ventricular cavae may only rarely cause clinical symptoms. Exceptionally, empyemas may develop in these cavae. Optimal treatment has been defined only poorly so far.
Here, we report successful treatment of a bacterial empyema in the cavum septi pellucidi et vergae due to sphenoid sinus sinusitis in a 36-year-old woman by stereotactic puncture and drainage of the empyema and long-term administration of antibiotics.
Stereotactic puncture and drainage accompanied by antibiotic therapy result in beneficial outcome in the long term. Transcallosal interhemispheric approaches and free-hand techniques should be discouraged since, according to previously published reports, they may result in severe morbidity or mortality in this condition.
