Journal article
Purely Endoscopic Resection of Colloid Cysts
Operative neurosurgery (Hagerstown, Md.), Vol.62(suppl_1), pp.ONS51-ONS56
03/01/2008
DOI: 10.1227/01.neu.0000317373.00018.6f
PMID: 18424967
Abstract
Abstract Objective: To further assess the safety and long-term efficacy of endoscopic resection of colloid cysts of the third ventricle. Methods: A retrospective review of a series of 35 consecutive patients (18 male, 17 female) with colloid cysts treated by endoscopic surgery was undertaken. Results: The mean patient age was 32.4 years (range, 11–54 yr). Headache was the most common presenting symptom (22 patients). The average tumor size was 18 mm (range, 3–50 mm). The endoscopic technique could not be completed in six patients, necessitating conversion to an open craniotomy and a transcortical approach to the colloid cyst. All patients had histologically confirmed colloid cysts of the third ventricle, and complete resection of the lesion was confirmed macroscopically and radiologically in all patients. There were no deaths. Two patients developed aseptic meningitis without any permanent sequelae. One patient developed unilateral hydrocephalus attributable to obstruction of the foramen of Monro, which was treated with endoscopic septum pellucidotomy. The median follow-up period was 88 months (range, 10–132 mo). There was one asymptomatic radiological recurrence. No seizures occurred after surgery. Conclusion: The results of this study support the role of endoscopic resection in the treatment of patients with colloid cysts as a safe and effective modality. In some cases, conversion to an open procedure may be required. Additional follow-up will be required to continue to address the duration of lesion-free survival.
Details
- Title: Subtitle
- Purely Endoscopic Resection of Colloid Cysts
- Creators
- Jeremy D.W Greenlee - Department of Neurosurgery, University of Iowa, Iowa City, IowaCharles Teo - Centre for Minimally Invasive Neurosurgery, Prince of Wales Hospital, University of New South Wales, Sydney, AustraliaAli Ghahreman - Centre for Minimally Invasive Neurosurgery, Prince of Wales Hospital, University of New South Wales, Sydney, AustraliaBernard Kwok - Centre for Minimally Invasive Neurosurgery, Prince of Wales Hospital, University of New South Wales, Sydney, Australia
- Resource Type
- Journal article
- Publication Details
- Operative neurosurgery (Hagerstown, Md.), Vol.62(suppl_1), pp.ONS51-ONS56
- DOI
- 10.1227/01.neu.0000317373.00018.6f
- PMID
- 18424967
- ISSN
- 2332-4252
- eISSN
- 2332-4260
- Language
- English
- Date published
- 03/01/2008
- Academic Unit
- Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
- Record Identifier
- 9984040258202771
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