Search

We present the case of a 25-year-old woman suffering from chronic severe headaches and syncope associated with an expanding cyst of the septum pellucidum. After a simple endoscopic fenestration of the cyst the symptoms resolved, resulting in an excellent clinical outcome. This case shows that simple endoscopic fenestration may produce a rapid and maintained symptomatic improvement in patients with an expanding cyst of the septum pellucidum.

A case of primary melanoma arising from the spinal cord parenchyma at the Th 10-11 level, in a 50-year old female, is presented. In this patient, Magnetic Resonance Imaging (MRI) showed an intraparenchymatous lesion, with rounded borders, and an associated intramedullary cyst. On the basis of these findings and the long duration of symptoms, an erroneous preoperative diagnosis of intramedullary ependymoma was made.