Abe H, Tsuchida T, Mori S
No Shinkei Geka. 1986 Sep;14(10):1271-4.
A case of an empyema of cavum septi pellucidi and cavum Vergae is reported. A 60-year-old male was admitted because of fever, chill shivering, and slight conscious disturbance four days after head trauma. CT scan on admission showed cavum septi pellucidi and cavum Vergae. Lumbar puncture revealed whitish cloudy CSF containing 12256/3 WBC. So he was treated with antibiotics under the diagnosis of suppurative meningitis. Five days after administration of antibiotics high fever went down and consciousness was cleared. But about 10 days later his conscious level was lowered again. The follow up CT demonstrated remarkable expansion of cavum septi pellucidi and cavum Vergae with enhanced cavity wall. Empyema of the cavums was suspected and stereotaxic operation was performed. 10 ml of yellowish pus was aspirated. Post operative course was uneventful. CT scan of 15 days after operation revealed a marked decrease in size of the cavums, which almost completely disappeared three months later. Case similar to this was not found to be reported. The mechanism of formation of empyema of cavum septi pellucidi and cavum Vergae after meningitis in this case is discussed.
报道了一例透明隔腔和韦尔加腔积脓的病例。一名60岁男性因头部外伤四天后出现发热、寒战及轻度意识障碍入院。入院时CT扫描显示透明隔腔和韦尔加腔。腰椎穿刺显示脑脊液呈白色浑浊，白细胞计数为12256/3。因此，他被诊断为化脓性脑膜炎并接受抗生素治疗。使用抗生素五天后，高热消退，意识清醒。但大约10天后，他的意识水平再次下降。后续CT显示透明隔腔和韦尔加腔显著扩大，腔壁强化。怀疑为腔积脓并进行了立体定向手术。抽出10毫升黄色脓液。术后过程顺利。术后15天的CT扫描显示腔的大小明显减小，三个月后几乎完全消失。未发现有类似病例报道。讨论了该病例中脑膜炎后透明隔腔和韦尔加腔积脓的形成机制。
