Endodermal cyst of septum pellucidum and pregnancy: A case report

BACKGROUND Endodermal or Neurenteric cysts are commonly found in spine. Their intracra nial occurrence is rare and such a cyst in the septum pellucidum is excepti onal, METHOD We report a woman, with 33 week pregnancy, presenting in a semiconscious st ate due to raised intracranial pressure (ICP) due to hydrocephalus caused b y a large lesion in the septum pellucidum. Computed tomography (CT) reveale d the lesion which was better characterised by the Magnetic Resonance Imagi ng (MRI). First baby was delivered by LSCS and bilateral ventriculo-periton eal shunts were inserted; and Later on the cyst was excised. RESULT There was full neurological recovery following the insertion of VP shunt. A fter excision of cyst cerebrospinal fluid (CSF) pathway was established and shunts could be removed. Post-operative period was complicated by septic v entriculitis. Eventually patient was discharged home in excellent condition . CONCLUSION Endodermal cyst of septum pellucidum is an uncommon condition. Such lesions may be large when revealed, good outcome is expected alter surgical excisi on. (C) 2000 by Elsevier Science Inc.