neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2017-0-4-83-88neurosurgery-504Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ БОЛЬНОЙ С СИМПТОМНОЙ КИСТОЙ ПРОЗРАЧНОЙ ПЕРЕГОРОДКИ. КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕSURGICAL TREATMENT OF PATIENT WITH SYMPTOMATIC CYST OF PELLUCID SEPTUM. CLINICAL CASEГодковИ. М.GodkovI. M.

Годков Иван Михайлович — к.м.н., н.с. отделения нейрохирургии.

 

i.godkov@yandex.ruГриньА. А.Grin’A. A.

Гринь Андрей Анатольевич — д.м.н., профессор кафедры нейрохирургии и нейрореанимации МГМСУ им. А.И. Евдокимова, заведующий научным отделением неотложной нейрохирургии ГБУЗ «НИИ СП им. Н.В. Склифосовского ДЗМ», главный нейрохирург ДЗ г. Москвы.

Москва.

ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского ДЗ г. Москвы».Russian Federation201721042018048388Copyright © Годков И.М., Гринь А.А., 20182018Годков И.М., Гринь А.А.Godkov I.M., Grin’ A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/504Цель

Цель: представить редкое клиническое наблюдение — кисту прозрачной перегородки с агрессивным клиническим течением.

Материалы и методы

Материалы и методы. Пациентка, 24 лет, имела преходящую и постепенно прогрессирующую в течение полугода окклюзионную и гипертензионную симптоматику после незначительной травмы головы. При МРТ головного мозга у больной была выявлена киста прозрачной перегородки объемом 16 см3, вызывающая компрессию передних рогов боковых желудочков и окклюзию отверстий Монро с обеих сторон.

Результаты

Результаты. Больной проведена эндоскопическая фенестрация кисты прозрачной перегородки под контролем безрамной нейронавигации. Достигнут хороший клинический результат с полным разрешением симптомов внутричерепной гипертензии и окклюзии ликворопроводящих путей.

Заключение

Заключение: эндоскопическая фенестрация кисты прозрачной перегородки является эффективным методом лечения. 

Objective

Objective: to present the rare clinical case — cyst of pellucid septum with aggressive clinical course.

Material and methods

Material and methods. Female patient, 24 years old had transient and gradually growing within 6 months occlusive and hypertensive symptoms after minimal head injury. Brain MRI revealed cyst of pellucid septum with the volume of 16 cm3, compressed the frontal horns of lateral ventricles and occlusion of Monro foramen from both sides.

Results

Results. The endoscopic fenestration of pellucid septum cyst was performed under the control of frameless neuronavigation. The good clinical outcome was achieved with the total release of symptoms of intracranial hypertension and occlusion of liquor pathways.

Conclusions

Conclusions: endoscopic fenestration of pellucid septum cyst is effective treatment method. 

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The authors declare that there are no conflicts of interest present.