Volume 1, Issue 4 (3-2016)                   Iran J Neurosurg 2016, 1(4): 15-19 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Thiam A B, Okome Mezui E D, Ndoye N, Thioub M, Badiane S B. Endoscopic Treatment of Colloid Cysts of Third Ventricle: Study of Three Cases. Iran J Neurosurg. 2016; 1 (4) :15-19
URL: http://irjns.org/article-1-26-en.html
1- MD, Assisstant Professor of Neurosurgery, Neurosurgery Clinic, Fann National University Hospital, Dakar, Senegal, West Africa
2- MD, Fellowship of Neurosurgery, University of Montreal, Chief Assistant of Neurosurgery, Universite of Health Sciences of Gabon, West Africa
3- MD, Chief Assistant of Neurosurgery, Neurosurgery Clinic, Fann National University Hospital, Dakar, Senegal, West Africa
4- MD, Professor of Neurosurgery, Head of Neurosurgery Clinic, Fann National University Hospital, Dakar, Senegal, West Africa
Abstract:   (2249 Views)

Introduction: Colloid cyst of the third ventricle is a rare intracranial benign tumor. Traditionally, treatment is carried out by transcallosal or transcortical transventricular approach. Currently, the endoscopic treatment of these lesions is increasingly used. We reported our preliminary experience about three cases of colloid cysts treated by neuroendoscopy.

Methods and Patients: We conducted a retrospective study on the analysis of medical records of three patients with colloid cyst who had been operated endoscopically in our department. We used a rigid neuroendoscope of 2.7 mm in diameter, with an optical 30°. Coagulation of the wall, followed by a puncture aspiration of cystic contents and partial resection of its wall were performed during the surgery. The mean follow-up time was two years.

Results: Patients were 35, 47, and 53 years old. They were male. The dominant clinical symptom was headaches with consciousness disorder. Brain MRI allowed the diagnosis in all cases. The mean operation time was 100 minutes. A case of intraoperative hemorrhage was observed, necessitating the installation of an EDV. The outcome was favorable in two patients, and after surgery we observed one case of meningitis treated. One case of transient amnesia and one death were reported. Conclusion: Preliminary results of endoscopic treatment of colloid cysts were encouraging. It is a promising technique in our department. However, more investigation is necessary.

Full Text [PDF 599 kb]   (1321 Downloads) |   |   Full Text (HTML)  (408 Views)  
Type of Study: Research | Subject: Gamma Knife Radiosurgery

1. 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;60:613-618. [DOI:10.1227/01.NEU.0000255409.61398.EA] [PMID]
2. Bristol RE, Nakaji P, Smith KA. Endoscopic management of colloid cysts. Oper Tech Neurosurg. 2005;8:176-178. [DOI:10.1053/j.otns.2005.07.009]
3. Khoury CE, Brugières P, Decq P, Cosson-Stanescu R, Combes C, Ricolfi F et al. Colloid Cysts of the Third Ventricle: Are MR Imaging Patterns Predictive of Difficulty with Percutaneous Treatment? AJNR Am J Neuroradiol. 2000;21:489-492. [PMID]
4. Algin O, Ozmen E, Arslan H. Radiologic manifestations of colloid cysts: A pictorial assay. Canadian Association of Radiologists Journal. 2013;64:56-60. [DOI:10.1016/j.carj.2011.12.011] [PMID]
5. 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;96:1041–1045. [DOI:10.3171/jns.2002.96.6.1041] [PMID]
6. Tamura Y, Uesugi T,Tucker A, Ukita T, Tsuji M, Miyake H, et al. Hemorrhagic colloid cyst with intraventricular extension. J Neurosurg. 2013;118:498-501. [DOI:10.3171/2012.10.JNS12793] [PMID]
7. Gokalp HZ, Yuceer N, Arasil E, Erdogan A, Dincer C, Baskaya M. Colloid cyst of the third ventricle. Evaluation of 28 cases of colloid cyst of the third ventricle operated on by transcorticaltransventricular (25 cases) and transcallosal/transventricular (3 cases) approaches. Acta Neurochir. 1996;138:45-49.
8. 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;57:295-304. [DOI:10.1016/S0090-3019(02)00701-2]
9. Hernesniemi J, Leivo S. Management outcome in third ventricular colloid cysts in a defined population: a series of 40 patients treated mainly by transcallosal microsurgery. Surg Neurol. 1996;45:2-14. [DOI:10.1016/0090-3019(95)00379-7]
10. Abdou MS, Cohen AR. Endoscopic treatment of colloid cysts of the third ventricle. Technical note and review of the literature. J Neurosurg. 1998;89:1062-1068. [DOI:10.3171/jns.1998.89.6.1062] [PMID]
11. Boogaarts HD, Decq P, Grotenhuis JA, Le Guérinel C, Nseir R, Jarraya B, et al. Long-term results of the neuroendoscopic management of colloid cysts of the third ventricle: a series of 90 cases. Neurosurgery. 2011;68:179-187. [DOI:10.1227/NEU.0b013e3181ffae71] [PMID]
12. Salem-Memou S, Thiam A B, Kpelao E, Mbaye M, Ba MC, Badiane SB. Traitement de l'hydrocéphalie de l'enfant par ventriculocisternostomie endoscopique au Sénégal. j. neuchi doi:2014;60(5):254-257.
13. Wallmann H. Eine colloid cysteim dritten Hirn ventrikel und ein Lipomin plexus Choroides. Virchows Arch Pathol Anat. 1858;14:385-388. [DOI:10.1007/BF01929335]
14. Sribnick EA, Dadashev VY, Miller BA, Hawkins S, Hadjipanayis CG. Neuroendoscopic colloid cyst resection: a case cohort with follow-up and patient satisfaction. World Neurosurg. 2014;81,3/4:584-593. [DOI:10.1016/j.wneu.2013.12.006] [PMID]
15. Taous A, Rouimi A. Kyste colloïde obstructive du troisième ventricule. Pan African Medical Journal. 2015;20:217. [DOI:10.11604/pamj.2015.20.217.6264] [PMID] [PMCID]
16. 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;66:368-375. [DOI:10.1227/01.NEU.0000363858.17782.82] [PMID]
17. Sheikh AB, Mendelson ZS, LIU JK. Endoscopic versus microsurgical resection of colloid cyst: a systematic review and meta-analysis of 1278 patients. World Neurosurg. 2014;82(6):1187-1197. [DOI:10.1016/j.wneu.2014.06.024] [PMID]
18. Buchsbaum HW, Colton RP. Anterior third ventricle cysts in infancy. Case report. J Neurosurg. 1967;26:264-266. [DOI:10.3171/jns.1967.26.2.0264] [PMID]
19. Ibá-ez-Botella G, Domínguez M, Ros B, De Miguel L, Márquez B, Arráez A. Endoscopic transchoroidal and transforaminal approaches for resection of third ventricular colloid cysts. Neurosurg Rev. 2014;37:227-234. [DOI:10.1007/s10143-014-0529-7] [PMID]
20. Carrasco R, Pascual JM, Medina-López D, Burdaspal-Moratilla A. Acute hemorrhage in a colloid cyst of the third ventricle: a rare cause of sudden deterioration. Surg Neurol Int. 2012;3:24. [DOI:10.4103/2152-7806.92932] [PMID] [PMCID]
21. Kondziolka D, Lunsford D. Stereotactic management of colloid cysts: factors predicting success. J Neurosurg. 1991;75:45-51. [DOI:10.3171/jns.1991.75.1.0045] [PMID]
22. 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;80:576-583. [DOI:10.1016/j.wneu.2012.07.014] [PMID]
23. Decq P, Le Guerinel C, Brugières P, Djindjian M, Silva D, Kéravel Y et al. Endoscopic management of colloid cysts. Neurosurgery. 1988;42(6):1288-94. [DOI:10.1097/00006123-199806000-00051]
24. Hellwig D, Bauer BL, Schulte M, Gatscher S, Riegel T, Bertalanffy H. Neuroendoscopic treatment of colloid cysts of the third ventricle: the experience of a decade. Neurosurgery. 2003;52(3):525-531. [DOI:10.1227/01.NEU.0000047671.27057.55] [PMID]

Add your comments about this article : Your username or Email:

© 2019 All Rights Reserved | Iranian Journal of Neurosurgery

Designed & Developed by : Yektaweb