Forskning
Udskriv Udskriv
Switch language
Rigshospitalet - en del af Københavns Universitetshospital
Udgivet

Surgical treatment for symptomatic ventriculus terminalis: case series and a literature review

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Mitotic and Proliferative Indices in WHO Grade III Meningioma

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Preoperative antibiotic prophylaxis regimen in brain tumour surgery in Sweden: a quasi-experimental study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Human RTEL1 associates with Poldip3 to facilitate responses to replication stress and R-loop resolution

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Cost-effectiveness of stereotactic laser ablation (SLA) for brain tumors

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Return to work following meningioma surgery: a Swedish nationwide registry-based matched cohort study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • Alexander Fletcher-Sandersjöö
  • Erik Edström
  • Jiri Bartek
  • Adrian Elmi-Terander
Vis graf over relationer

BACKGROUND: Ventriculus terminalis is a cystic embryological remnant within the conus medullaris that normally regresses after birth. In rare cases, it may persist into adulthood and give rise to neurological symptoms, for which the optimal treatment remains uncertain. The aim of this study was to present our experience from a population-based cohort of patients with ventriculus terminalis and discuss our management strategy as compared to the existing literature.

METHODS: A retrospective review was conducted of all adult (≥ 15 years) patients with ventriculus terminalis who were referred to the Karolinska University Hospital between 2010 and 2018.

RESULTS: Fourteen patients were included. All patients were symptomatic at the time of referral, and the most common symptom was lower limb weakness (n = 9). Microsurgical cyst fenestration was offered to all patients and performed in thirteen. Postoperative imaging confirmed cyst size reduction in all surgically treated patients. No surgical complications were reported. Eleven of the surgically treated patients showed clinical improvement at long-term follow-up. One patient declined surgery, with progression of the cyst size and clinical deterioration observed at follow-up.

CONCLUSIONS: Surgery for ventriculus terminalis seems to be a safe and effective option for relief of symptoms. We propose that surgery should be offered to all patients with symptomatic ventriculus terminalis.

OriginalsprogEngelsk
TidsskriftActa Neurochirurgica
Vol/bind161
Udgave nummer9
Sider (fra-til)1901-1908
Antal sider8
ISSN0001-6268
DOI
StatusUdgivet - sep. 2019

ID: 58984195