Imaging of spontaneous intraventricular rupture of a septum pellucidum colloid cyst: case report.

Abstract:

:Intraventricular rupture of a colloid cyst is a rare phenomenon and has been proposed as a mechanism for sudden death in patients with colloid cysts. Imaging of a colloid cyst during rupture has been described in only one other instance. The authors report a highly unusual case of a 53-year-old man who presented with acute onset headaches and imaging findings of hydrocephalus caused by a colloid cyst originating from the septum pellucidum and superior surface of the roof of the third ventricle. Interestingly, the colloid cyst revealed imaging signs of intraventricular rupture characterized by a tail-like drainage of cystic contents into the occipital horn of the lateral ventricle. The patient was surgically treated with a craniotomy and transcallosal approach to the colloid cyst, where it was noted that the cyst wall was spontaneously open. This rare case highlights unique imaging findings of a rare event in an infrequent pathology confirmed with intraoperative microscopy. The authors further document the process of cyst rupture and speculate on its pathomechanisms.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Westwick HJ,Obaid S,Morin-Roy F,Champagne PO,Bouthillier A

doi

10.3171/2016.5.JNS153015

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

1779-1782

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

126

pub_type

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