Endoscopic management of third ventricular colloid cysts: eight years' institutional experience and description of a new technique.

Abstract:

BACKGROUND:The operative approaches for colloid cyst excision are varied with open microsurgical excision still being considered as the "gold standard". Endoscopic removal of these cysts is gaining in popularity. AIMS:To document the efficacy and safety of the endoscope for colloid cyst excision. MATERIALS AND METHODS:Retrospective study of all the patients who underwent endoscopic colloid cyst excision between January 2000 and March 2009. Patient records, radiological images and operative notes were assessed. Follow-up data including clinical and radiological details were retrieved. RESULTS:Fifty-nine cases underwent endoscopic surgery during the study period. Gross total excision of cyst (with small residual nubbin) could be achieved in 46 (78%) patients. Others patients underwent: near-total excision (seven); partial excision (five); and cyst aspiration (one). A two-port technique for achieving excision was used in 18 patients. There was one death due to fulminant meningitis. No patients had recurrence, follow-up till 99 months. Two patients required ventriculo peritonealshunt for persistent hydrocephalus. CONCLUSIONS:Endoscopic excision is a safe and effective, minimally invasive method for colloid cyst removal. Even a subtotal excision of these slow-growing cysts may be acceptable when experience with the endoscope is limited.

journal_name

Neurol India

journal_title

Neurology India

authors

Mishra S,Chandra PS,Suri A,Rajender K,Sharma BS,Mahapatra AK

doi

10.4103/0028-3886.66222

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

412-7

issue

3

eissn

0028-3886

issn

1998-4022

pii

ni_2010_58_3_412_66222

journal_volume

58

pub_type

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