Cystic dilatation of the ventriculus terminalis: A narrative review
Introduction: The terminal ventricle, also known as the fifth ventricle, is a tiny relic cavity in the conus medullaris of the human spinal cord. Our purpose in bringing attention to this condition is to get the word out about the signs and symptoms, diagnostic hurdles, and therapeutic options avail...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=4;spage=319;epage=329;aulast=Oday |
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| author | Atallah Oday Amr Badary Nasser M F El-Ghandour Yasser F Almealawy Andrew Awuah Wireko Nikolaos Syrmos Giuseppe Emmanuele Umana Mohammad Al-Barbarawi Anil Ergen Prabin Shrestha Bipin Chaurasia |
| author_facet | Atallah Oday Amr Badary Nasser M F El-Ghandour Yasser F Almealawy Andrew Awuah Wireko Nikolaos Syrmos Giuseppe Emmanuele Umana Mohammad Al-Barbarawi Anil Ergen Prabin Shrestha Bipin Chaurasia |
| author_sort | Atallah Oday |
| collection | DOAJ |
| description | Introduction: The terminal ventricle, also known as the fifth ventricle, is a tiny relic cavity in the conus medullaris of the human spinal cord. Our purpose in bringing attention to this condition is to get the word out about the signs and symptoms, diagnostic hurdles, and therapeutic options available for it.
Methods: All relevant studies involving patients diagnosed with ventriculus terminalis (VT) were retrieved from PubMed, Google Scholar, and Scopus. Studies published in complete English language reports were included. The terms VT, terminal ventricle, and 5th ventricle. Age, gender, presenting symptoms, magnetic resonance imaging findings, treatment, and outcome of patients with ventriculus terminalis were all included and recorded.
Results: The average age of the patients was 39 years, and there were 13 men among them (14.4%). Motor deficits and sciatica were the most commonly reported symptoms in 38 and 34 patients (42.2%, 37.7%), respectively. In 48 patients (53.3%), cyst fenestration was performed, and in 25 patients (27.7%), myelotomy was performed. Fifty-eight patients (64.4%) saw a reduction in cyst size after surgery. The majority of patients reported an improvement in their symptoms in 64 cases (51.1%), with only three cases (3.3%) reporting a worsening.
Conclusions: In cases where the VT is the source of symptoms such as motor, sensory, or bladder dysfunction, surgical intervention is recommended. This review compiles information from the available literature to shed light on the anatomy, clinical presentation, imaging, and treatment options for this variant. It also aims to pinpoint any potential drawbacks or restrictions connected to the surgical techniques. |
| first_indexed | 2024-04-24T16:04:50Z |
| format | Article |
| id | doaj.art-2808a8f6276d4b1eb963ad2f1ac90177 |
| institution | Directory Open Access Journal |
| issn | 0974-8237 |
| language | English |
| last_indexed | 2024-04-24T16:04:50Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj.art-2808a8f6276d4b1eb963ad2f1ac901772024-04-01T05:54:48ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372023-01-0114431932910.4103/jcvjs.jcvjs_98_23Cystic dilatation of the ventriculus terminalis: A narrative reviewAtallah OdayAmr BadaryNasser M F El-GhandourYasser F AlmealawyAndrew Awuah WirekoNikolaos SyrmosGiuseppe Emmanuele UmanaMohammad Al-BarbarawiAnil ErgenPrabin ShresthaBipin ChaurasiaIntroduction: The terminal ventricle, also known as the fifth ventricle, is a tiny relic cavity in the conus medullaris of the human spinal cord. Our purpose in bringing attention to this condition is to get the word out about the signs and symptoms, diagnostic hurdles, and therapeutic options available for it. Methods: All relevant studies involving patients diagnosed with ventriculus terminalis (VT) were retrieved from PubMed, Google Scholar, and Scopus. Studies published in complete English language reports were included. The terms VT, terminal ventricle, and 5th ventricle. Age, gender, presenting symptoms, magnetic resonance imaging findings, treatment, and outcome of patients with ventriculus terminalis were all included and recorded. Results: The average age of the patients was 39 years, and there were 13 men among them (14.4%). Motor deficits and sciatica were the most commonly reported symptoms in 38 and 34 patients (42.2%, 37.7%), respectively. In 48 patients (53.3%), cyst fenestration was performed, and in 25 patients (27.7%), myelotomy was performed. Fifty-eight patients (64.4%) saw a reduction in cyst size after surgery. The majority of patients reported an improvement in their symptoms in 64 cases (51.1%), with only three cases (3.3%) reporting a worsening. Conclusions: In cases where the VT is the source of symptoms such as motor, sensory, or bladder dysfunction, surgical intervention is recommended. This review compiles information from the available literature to shed light on the anatomy, clinical presentation, imaging, and treatment options for this variant. It also aims to pinpoint any potential drawbacks or restrictions connected to the surgical techniques.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=4;spage=319;epage=329;aulast=Odayfifth ventricleterminal ventricleventriculus terminalis |
| spellingShingle | Atallah Oday Amr Badary Nasser M F El-Ghandour Yasser F Almealawy Andrew Awuah Wireko Nikolaos Syrmos Giuseppe Emmanuele Umana Mohammad Al-Barbarawi Anil Ergen Prabin Shrestha Bipin Chaurasia Cystic dilatation of the ventriculus terminalis: A narrative review Journal of Craniovertebral Junction and Spine fifth ventricle terminal ventricle ventriculus terminalis |
| title | Cystic dilatation of the ventriculus terminalis: A narrative review |
| title_full | Cystic dilatation of the ventriculus terminalis: A narrative review |
| title_fullStr | Cystic dilatation of the ventriculus terminalis: A narrative review |
| title_full_unstemmed | Cystic dilatation of the ventriculus terminalis: A narrative review |
| title_short | Cystic dilatation of the ventriculus terminalis: A narrative review |
| title_sort | cystic dilatation of the ventriculus terminalis a narrative review |
| topic | fifth ventricle terminal ventricle ventriculus terminalis |
| url | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=4;spage=319;epage=329;aulast=Oday |
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