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  • Title: Stereotactic drainage of empyema of the cavum septi pellucidi et vergae.
    Author: Saryyeva A, Nakamura M, Capelle HH, Krauss JK.
    Journal: Stereotact Funct Neurosurg; 2012; 90(1):59-62. PubMed ID: 22286299.
    Abstract:
    BACKGROUND: 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. METHODS: 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. RESULTS AND CONCLUSIONS: 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.
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