Endoscopic Surgery for Third Ventricular Colloid Cysts in the Absence of Hydrocephalus- a feasibility study
International Clinical Neuroscience Journal,
Vol. 1 No. 2 (2014),
25 November 2014
Purpose: The aim of this study was to investigate the feasibility and effectiveness of endoscopic neurosurgery for patients with third ventricular colloid cysts without ventriculomegaly.
Methods: Seventy-one patients with third ventricular colloid cysts were identified and recruited to this study. Eighteen of these patients did not have concomitant hydrocephalus and underwent primary endoscopic surgery for cyst resection. The surgical technique, the success rate, and patients’ outcome were assessed and compared with 53 hydrocephalic patients who underwent similar procedures.
Results: The ventricular compartments were successfully cannulated and gross total resectin of the colloid cysts was achieved in all patients. There were no operative complications related to the endoscopic procedure. Two patients required subsequent intervention for hydrocephalus. The success rate for endoscopic surgery in non-hydrocephalic patients was similar to its value in patients with hydrocephalus.
Conclusion: Endoscopic resection of third ventricular colloid cyst in patients without hydrocephalus seems to be feasible, effective and not contraindicated.
- colloid cyst. hydrocephaly.
How to Cite
Antunes JL, Louis KM, Ganti SR. Colloid cysts of the third ventricle. Neurosurgery. 1980;7(5):450-5.
Sampath R, Vannemreddy P, Nanda A. Microsurgical excision of colloid cyst with favorable cognitive outcomes and short operative time and hospital stay: operative techniques and analyses of outcomes with review of previous studies. Neurosurgery. 2010;66(2):368-74.
de Witt Hamer PC, Verstegen MJ, De Haan RJ, Vandertop WP, Thomeer RT, Mooij JJ, et al. High risk of acute deterioration in patients harboring symptomatic colloid cysts of the third ventricle. J Neurosurg. 2002;96(6):1041-5.
Desai KI, Nadkarni TD, Muzumdar DP, Goel AH.Surgical management of colloid cyst of the third ventricle--a study of 105 cases. Surg Neurol. 2002;57(5):295-302.
Grondin RT, Hader W, MacRae ME, Hamilton MG. Endoscopic versus microsurgical resection of third ventricle colloid cysts. Can J Neurol Sci. 2007;34(2):197-207.
Lewis AI, Crone KR, Taha J, van Loveren HR, Yeh HS, Tew JM, Jr. Surgical resection of third ventricle colloid cysts. Preliminary results comparing transcallosal microsurgery with endoscopy.J Neurosurg. 1994;81(2):174-8.
Symss NP, Ramamurthi R, Rao SM, Vasudevan MC, Jain PK, Pande A. Management outcome of the transcallosal, transforaminal approach to colloid cysts of the anterior third ventricle: an analysis of 78 cases. Neurol India. 2011;59(4):542-7.
Shapiro S, Rodgers R, Shah M, Fulkerson D, Campbell RL. Interhemispheric transcallosal subchoroidal fornix-sparing craniotomy for total resection of colloid cysts of the third ventricle.J Neurosurg. 2009;110(1):112-5.
Wilson DA, Fusco DJ, Wait SD, Nakaji P. Endoscopic Resection of Colloid Cysts: Use of a Dual-Instrument Technique and an Anterolateral Approach. World Neurosurg. 2012.
Horn EM, Feiz-Erfan I, Bristol RE, Lekovic GP, Goslar PW, Smith KA, et al. Treatment options for third ventricular colloid cysts: comparison of open microsurgical versus endoscopic resection. Neurosurgery. 2007;60(4):613-8.
Hellwig D, Bauer BL, Schulte M, Gatscher S, Riegel T, Bertalanffy H. Neuroendoscopic treatment for colloid cysts of the third ventricle: the experience of a decade. Neurosurgery. 2003;52(3):525-33.
Margetis K, Souweidane MM. Endoscopic treatment of intraventricular cystic tumors. World Neurosurg. 2013;79(2 Suppl):S19 e1-1.
Decq P, Le Guerinel C, Brugieres P, Djindjian M, Silva D, Keravel Y, et al. Endoscopic management of colloid cysts. Neurosurgery. 1998;42(6):1288-94.
Gaab MR, Schroeder HW. Neuroendoscopic approach to intraventricular lesions. Neurosurg Focus. 1999;6(4):e5.
Teo C. Complete endoscopic removal of colloid cysts: issues of safety and efficacy. Neurosurg Focus. 1999;6(4):e9.
Abdou MS, Cohen AR. Endoscopic treatment of colloid cysts of the third ventricle. Technical note and review of the literature.J Neurosurg. 1998;89(6):1062-8.
Song JH, Kong DS, Seol HJ, Shin HJ. Transventricular Biopsy of Brain Tumor without Hydrocephalus Using Neuroendoscopy with Navigation. J Korean Neurosurg Soc. 2010;47(6):415-9.
Naftel RP, Shannon CN, Reed GT, Martin R, Blount JP, Tubbs RS, et al. Small-ventricle neuroendoscopy for pediatric brain tumor management. J Neurosurg Pediatr. 2011;7(1):104-10.
Souweidane MM. Endoscopic surgery for intraventricular brain tumors in patients without hydrocephalus. Neurosurgery. 2008;62(6 Suppl 3):1042-8.
Wait SD, Gazzeri R, Wilson DA, Abla AA, Nakaji P, Teo C. Endoscopic Colloid Cyst Resection in the Absence of Ventriculomegaly. Neurosurgery. 2013;73(1 Suppl Operative):ons39-46; ons46-7.
- Abstract Viewed: 295 times
- PDF Downloaded: 285 times