Research
Print page Print page
Switch language
Rigshospitalet - a part of Copenhagen University Hospital
Published

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

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Changes in intracranial pressure and pulse wave amplitude during postural shifts

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. A snapshot of European neurosurgery December 2019 vs. March 2020: just before and during the Covid-19 pandemic

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Drain type and technique for subdural insertion after burr hole evacuation of chronic subdural hematoma

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. The Danish Chronic Subdural Hematoma Study-comparison of hematoma age to the radiological appearance at time of diagnosis

    Research output: Contribution to journalJournal articleResearchpeer-review

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

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Laser Ablation of Abnormal Neurological Tissue Using Robotic Neuroblate System (LAANTERN): Procedural Safety and Hospitalization

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Clinical and histopathological predictors of outcome in malignant meningioma

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Adaptive hybrid surgery analysis (AHSA) for adjuvant gamma knife radiosurgery treatment of vestibular schwannoma residuals

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Alexander Fletcher-Sandersjöö
  • Erik Edström
  • Jiri Bartek
  • Adrian Elmi-Terander
View graph of relations

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.

Original languageEnglish
JournalActa Neurochirurgica
Volume161
Issue number9
Pages (from-to)1901-1908
Number of pages8
ISSN0001-6268
DOIs
Publication statusPublished - Sep 2019

ID: 58984195