title: Stereotactic drainage of empyema of the cavum septi pellucidi et vergae.
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.
  
  
  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.
authors.affiliation: Department of Neurosurgery, Hannover Medical School, Hannover, Germany.
authors.forename: Assel
authors.initials: A
authors.lastname: Saryyeva
authors.forename: Makoto
authors.initials: M
authors.lastname: Nakamura
authors.forename: Hans-Holger
authors.initials: HH
authors.lastname: Capelle
authors.forename: Joachim K
authors.initials: JK
authors.lastname: Krauss
mesh_terms: D000328:Adult; D001927:Brain Diseases / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D002552:Cerebral Ventricles / Q000002:abnormalities* / Q000382:microbiology / Q000473:pathology; D004322:Drainage / Q000379:methods*; D004653:Empyema / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures / Q000379:methods*; D012688:Septum Pellucidum / Q000002:abnormalities* / Q000382:microbiology / Q000473:pathology; D015524:Sphenoid Sinusitis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000601:surgery; D013238:Stereotaxic Techniques; D013290:Streptococcal Infections / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome