Management of Pediatric Cavum Cysts: A Scoping Review and a Single Institution Case Series.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY

Pediatric Neurosurgery Pub Date : 2024-01-01 Epub Date: 2024-04-30 DOI:10.1159/000538837

Habib Emil Rafka, Eric Scot Shaw, Brian Fabian Saway, Daniel Slade, Thomas Harold Kelly, Ramin Eskandari

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引用次数: 0

Abstract

Introduction: Pediatric cavum cysts are a rare yet complicated pathology to manage. The literature is scarce, primarily consisting of case series, and lacking a consensus regarding clear management. In this scoping review, we aimed to compile existing information in the literature regarding the management of pediatric cavum cysts across the last 10 years. We also present our management of 19 patients, the largest case series to date, highlighting knowledge gaps surrounding the management of this salient pathology.

Methods: A literature search using PubMed and SCOPUS was conducted using the following search terms: (pediatric) AND (Cavum septum pellucidum) OR (cavum vergae) OR (cavum velum interpositum) AND (management). Eligibility criteria included peer-reviewed publication published in the last 10 years, pediatric population, cavum cyst, and English language. A retrospective search was conducted for all pediatric cavum cysts between 2013 and 2023 at our institution. Clinical and radiographic characteristics as well as intervention and outcome data were collected for both the scoping review and our cases.

Results: 330 total articles were populated using our search. 12 articles met our inclusion criteria. 41.7% (n = 5) of the articles were case series, 33.3% (n = 4) were case reports, 8.3% (n = 1) was a technical article, 8.3% (n = 1) was a systematic review, and 8.3% (n = 1) was a case questionnaire. Resolution of symptoms was noted in all articles of our scoping review, regardless of treatment modality. The average age in our case series was 9.84 years old and average age at diagnosis was 5.53 years old. 6 patients (31.6%) were female and 13 patients (68.4%) were male. 2 out of the 19 patients (10.5%) were surgically treated.

Conclusion: There is no clear consensus on the management of cavum cysts. A prospective, multicenter study is needed to create standardized pediatric cyst management guidelines. The current thought is that surgical intervention should be saved for those patients with obstructive hydrocephalus and signs of intracranial hypertension.

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小儿腔隙囊肿的治疗：范围综述和单一机构病例系列。

简介小儿腔隙囊肿是一种罕见而又复杂的病理现象。相关文献极少，主要由病例系列组成，且缺乏明确的管理共识。在这篇范围综述中，我们旨在梳理过去 10 年中有关小儿腔囊肿治疗的现有文献信息。我们还介绍了我们对 19 例患者的治疗情况，这是迄今为止最大的病例系列，同时强调了围绕这一突出病理的治疗方面存在的知识差距：使用以下检索词对 PubMed 和 SCOPUS 进行文献检索：（儿科） AND (Cavum septum pellucidum)) OR (cavum vergae))或（腔隙））和（管理）。资格标准包括：过去 10 年内发表、儿科人群、腔囊肿、英语。我们对本机构 2013 年至 2023 年间的所有小儿腔隙囊肿进行了回顾性检索。对范围综述和我们的病例收集了临床和放射学特征以及干预和结果数据：通过我们的搜索，共找到 330 篇文章。12篇文章符合我们的纳入标准。其中41.7%（n=5）为系列病例，33.3%（n=4）为病例报告，8.3%（n=1）为技术文章，8.3%（n=1）为系统综述，8.3%（n=1）为病例问卷调查。无论采用哪种治疗方式，范围综述的所有文章均指出患者症状得到缓解。病例系列的平均年龄为 9.84 岁，平均诊断年龄为 5.53 岁。6名患者（31.6%）为女性，13名患者（68.4%）为男性。19例患者中有2例（10.5%）接受了手术治疗：结论：目前对腔隙囊肿的治疗还没有明确的共识。需要进行前瞻性的多中心研究，以制定标准化的儿科囊肿治疗指南。目前的观点是，对于有梗阻性脑积水和颅内高压症状的患者，应尽量避免手术治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Neurosurgery 医学-临床神经学

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Articles in ''Pediatric Neurosurgery'' strives to publish new information and observations in pediatric neurosurgery and the allied fields of neurology, neuroradiology and neuropathology as they relate to the etiology of neurologic diseases and the operative care of affected patients. In addition to experimental and clinical studies, the journal presents critical reviews which provide the reader with an update on selected topics as well as case histories and reports on advances in methodology and technique. This thought-provoking focus encourages dissemination of information from neurosurgeons and neuroscientists around the world that will be of interest to clinicians and researchers concerned with pediatric, congenital, and developmental diseases of the nervous system.