Colloid cysts represent up to 2% of all intracranial neoplasms. They are benign and usually occur in anterior and antero‐superior part of the third ventricle. These cysts frequently obstruct the foramen of Monroe resulting in hydrocephalus which is a neurosurgical emergency. At other times the symptoms may be non‐specific like headache, vomiting etc. Many a times, colloid cysts may be completely an incidental finding with patients performing a CT scan for complaints unrelated to the cyst. Recognition of symptoms and a prompt diagnosis using MRI coupled with a proper neurosurgical Intervention is necessary especially in symptomatic patients as these tumors may rarely lead to sudden death. A prospective study of 15 patients with colloid cyst of the third ventricle who underwent surgical management at a single center was conducted. Demographic data, injury characteristics, surgical details and outcomes were analyzed. Endoscopic approach for excision of the tumor was compared with the microsurgical approach. In the present study of 15 patients operated for colloid cyst of the third ventricle 4 patients were male and 11 patients were female. Endoscopic approach carried significantly reduced operating times (p‐0.008). The incidence of complications was also significantly reduced in the endoscopic approach which included peri‐operative haemorrhage, seizures, memory deficits etc. However, the incidence of residual cyst wall remnants were significantly lower in the microsurgical approach when comparing with the endoscopic approach (p‐0.03296).
Rajesh K.R. Barooah, Nayanjeet Deka and Tanmoy Bhuyan. Colloid Cyst of the Third Ventricle: A Case Series.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.491.496
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.491.496