To Evaluate the Outcome of Endoscopic Removal of 3rd Ventricle Colloid Cyst

Authors

  • MUHAMMAD KHALID KHAN KHANZADA Assistant Professor, Department of Neurosurgery B, LRH, Peshawar Department of Community Medicine, Aga Khan Hospital, Karachi
  • USMAN HAQQANI Resident, Department of Neurosurgery B, LRH, Peshawar Department of Community Medicine, Aga Khan Hospital, Karachi
  • SAJJAD ULLAH Resident, Department of Neurosurgery B, LRH, Peshawar Department of Community Medicine, Aga Khan Hospital, Karachi
  • YOUSAF ALI Resident, Department of Community Medicine, Aga Khan Hospital, Karachi
  • SHAFAAT HUSSAIN Resident, Department of Neurosurgery B, LRH, Peshawar Department of Community Medicine, Aga Khan Hospital, Karachi

Keywords:

Ventricle Colloid Cyst

Abstract

Objective: To analyze the outcome of 3rd ventricle colloid cyst removal by endoscopic approach.
Material and Methods: It is a prospective observational case series study. About 11 patients of third ventricle colloid cyst were included. Site of the study was Neurosurgery B department, Lady Reading Hospital, Peshawar. Study duration was from July 2015 to June 2017. All routine investigations were done including CT brain and MRI .The clinical presentation, radiological findings, post-surgery outcome was analyzed. Endoscopic approach was applied in all cases using a rigid endoscope through right pre-coronal burr hole.
Results: our study consisted of total 11 patients. Headache and giddiness were the most common presentations (n = 9). 5 patients had change in vision. 2 patients suffered ataxia. One patient presented with urinary incontinence. Post-operative hydrocephalus was observed in only one patient.no recurrence was noted on follow-up visits,
Conclusions: Endoscopic approach to colloid cyst treatment is safe and effective with low complications rate.

References

1. Zohrevandi B, Monsef Kasmaie V, Asadi P, Tajik H. Third Ventricle Colloid Cyst as a Cause of Sudden Drop Attacks of a 13-Year-Old Boy. Emergency, 2015; 3 (4): 162-4.
2. Roldan-Valadez E, Hernandez-Martinez P, Elizalde-Acosta I, Osorio-Peralta S. [Colloid cyst of the third ventricle: case description and survey of the literature]. Revista de neurologia. 2003; 36 (9): 833-6.
3. Turillazzi E, Bello S, Neri M, Riezzo I, Fineschi V. Colloid cyst of the third ventricle, hypothalamus, and heart: a dangerous link for sudden death. Diagnostic Pathology, 2012; 7: 144.
4. Ravnik J, Bunc G, Grcar A, Zunic M, Velnar T. Colloid cysts of the third ventricle exhibit various clinical pre-sentation: a review of three cases. Bosnian Journal of Basic Medical Sciences, 2014; 14 (3): 132-5.
5. Camacho A, Abernathey CD, Kelly PJ, Laws ER, Jr. Colloid cysts: experience with the management of 84 cases since the introduction of computed tomography. Neurosurgery, 1989; 24 (5): 693-700.
6. Hwang DH, Townsend JC, Ilsen PF, Bright DC. Col-loid cyst of the third ventricle. Journal of the American Optometric Association, 1996; 67 (4): 227-34.
7. Turel MK, Kucharczyk W, Gentili F. Spontaneous reso-lution of colloid cyst of the third ventricle: Implications for management. Asian Journal of Neurosurgery, 2017; 12 (2): 203-6.
8. Connolly ID, Johnson E, Lamsam L, Veeravagu A, Rat-liff J, Li G. Microsurgical vs. Endoscopic Excision of Colloid Cysts: An Analysis of Complications and Costs Using a Longitudinal Administrative Database. Fron-tiers in Neurology, 2017; 8: 259.
9. Silva D, Matis G, Chrysou O, Carvalho Junior EV, Costa L, Kitamura M, et al. Sudden death in a patient with a third ventricle colloid cyst. Arquivos de neuro-psiquiatria. 2012; 70 (4): 311.
10. Shaktawat SS, Salman WD, Twaij Z, Al-Dawoud A. Unexpected death after headache due to a colloid cyst of the third ventricle. World Journal of Surgical Onco-logy, 2006; 4: 47.
11. Jacob MK, Anand SK, George P. Colloid Cyst of the Third Ventricle Presenting with Features of Terson's Syndrome. Middle East African Journal of Ophthal-mology, 2014; 21 (4): 344-6.
12. Beaumont TL, Limbrick DD, Jr., Rich KM, Wippold FJ, 2nd, Dacey RG, Jr. Natural history of colloid cysts of the third ventricle. Journal of neurosurgery, 2016; 125 (6): 1420-30.

Downloads

Published

2018-11-08

Issue

Vol. 22 No. 3 (2018): July-Sept

Section

Brain

License

The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).