Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
, 67 (1), 197-203; discussion 203-4

Full Scope of Options

Affiliations
Case Reports

Full Scope of Options

Costas G Hadjipanayis et al. Neurosurgery.

Abstract

Objective: The purpose of Clinical Problem Solving articles is to present management challenges to give practicing neurosurgeons insight into how field leaders address these dilemmas. This illustration is accompanied by a brief review of the literature on the topic.

Presentation: The case of a 16-year-old boy presenting with headaches is presented. The patient is found to have a typical colloid cyst at the foramen of Monro. Bilateral ventriculoperitoneal shunt placement had been performed as an initial treatment of the patient before presentation.

Results: Surgeons experienced in open and endoscopic surgery discuss their individual approaches to colloid cysts, in the context of previous shunting, providing a varied perspective on the clinical challenges posed by these lesions.

Conclusion: Both open and endoscopic options remain viable for excision of a colloid cyst. Each has associated potential complications, as illustrated by the current case.

Figures

FIGURE 1
FIGURE 1
Magnetic resonance imaging (MRI) scan of the brain confirming the presence of an anterior third ventricle mass. A, T1-weighted imaging after gadolinium administration revealing partial contrast enhancement of the third ventricle mass (arrow). B, sagittal T1-weighted MRI of the brain revealing lesion in anterior and superior portion of the third ventricle (arrow).
FIGURE 2
FIGURE 2
Magnetic resonance imaging of the brain performed 3 months after presentation revealing a left lateral ventricular enlargement and possible obstructive hydrocephalus caused by a third ventricle mass. T2-weighted imaging revealing isointense lesion in the third ventricle.
FIGURE 3
FIGURE 3
Computed tomography of brain revealing adequate positioning of bilateral ventricular catheters from ventriculoperitoneal shunt placement.
FIGURE 4
FIGURE 4
Hematoxylin and eosin staining of colloid cyst revealing lining epithelium and cyst content.
FIGURE 5
FIGURE 5
Axial T1-weighted magnetic resonance imaging of brain revealing tract of peel-away sheath to the right frontal lateral ventricle and a complete resection of the colloid cyst in the third ventricle.
FIGURE 6
FIGURE 6
Imaging of the brain before and after neuroendoscopic re-exploration and third ventriculostomy placement. A, computed tomography scan of the brain revealing a ventricular enlargement (lateral and third ventricles) after neuroendoscopic colloid cyst resection. Axial (B) and sagittal (C) contrast-enhanced magnetic resonance imaging of the brain 3 months after reopening of the right foramen of Monro and a neuroendoscopic third ventriculostomy revealing adequate ventricular decompression and no residual or recurrent colloid cyst (arrowhead).

Similar articles

See all similar articles

Cited by 1 PubMed Central articles

Publication types

MeSH terms

Feedback