Sudden death in a patient with a third ventricle colloid cyst

Silva, Danilo; Matis, Georgios; Chrysou, Olga I.; Carvalho, Eduardo Vieira de; Costa, Laura Olinda Bregieiro Fernandes; Kitamura, Matheus Augusto Pinto; Birbilis, Theodossios; Filho, Hildo Rocha Cirne de Azevedo

doi:10.1590/s0004-282x2012005000005

Cited by 14 publications

(17 citation statements)

References 5 publications

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“…Acute ventricular hydrocephalus with intracranial hypertension and brain herniation can result in cerebral compression, medullary (respiratory) compromise and death [7-10]. Sudden death has been also related to acute cyst swelling due to spontaneous intralesional bleeding that may cause acute obstructive hydrocephalus and intracranial hypertension due to rapid enlargement of the lesion itself [11-13]. …”

Section: Discussionmentioning

confidence: 99%

Colloid cyst of the third ventricle, hypothalamus, and heart: a dangerous link for sudden death

et al. 2012

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Colloid cysts are rare congenital, intracranial neoplasms, commonly located in the third ventricle. Colloid cysts are endodermal congenital malformations. The cysts commonly range in size from 1–2 cm in diameter, although large cysts >3 cm in size have been reported. The components of the cyst include an outer fibrous capsule over an inner epithelium. The epithelium is usually a single layer of mucin-producing or ciliated cells. Such cysts contain mucoid and gelatinous material, which is positive for both Periodic acid Schiff (PAS) and mucicarmen staining. Although colloid cysts usually represent histopathologically benign neoplasms, they can result in sudden, unexpected and potentially lethal complications. The mechanism(s) of death is still a controversial subject and several mechanisms have been postulated to explain the sudden onset of severe symptoms and of fatal rapid deterioration in patients with colloid cysts. In this case, macroscopic and histological findings addressed the diagnosis of colloid cyst of the third ventricle with diffuse myocardial injury (coagulative myocytolysis or contraction band necrosis, CBN) and led us to conclude that acute cardiac arrest due to hypothalamus stimulation in the context of colloid cyst of the third ventricle was the cause of death. As the hypothalamic structures which are involved in neuroendocrine and autonomic regulation playing a key role in cardiovascular control are located close to the walls of the third ventricle which is the most frequent anatomical site of colloid cyst, this may suggest that reflex cardiac effects due to the compression of the hypothalamic cardiovascular regulatory centers by the cyst explain the sudden death in patients harboring a colloid cyst when signs of hydrocephalus or brain herniation are lacking.Virtual slidesThe virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/4915842848034158

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Section: Discussionmentioning

confidence: 99%

Colloid cyst of the third ventricle, hypothalamus, and heart: a dangerous link for sudden death

et al. 2012

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“…In a study by Pollock et al that explored the natural course of colloid cysts, 8% of the cases became symptomatic 15 . Symptomatic cases may present with headache, hydrocephalus, diplopia, drop attacks, or psychiatric disorders, but the condition may also result in sudden death 4,5,7,15 . Our cases had no acute hydrocephaly but diplopia, drop attacks, and personality changes.…”

Section: Discussionmentioning

confidence: 99%

Üçüncü ventrikül anterior yerleşimli benign lezyonlarda interhemisferik transkallozal transforaminal yaklaşım: olgu serisi

Ulutaş¹,

Çınar²,

Seçer³

2017

Cukurova Medical Journal (Çukurova Üniversitesi Tıp Fakültesi Dergisi)

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AbstractÖz Benign or malignant masses located in the third ventricle may present with various clinical signs. In this paper, we report three cases of colloid cyst and a rare cavernous hemangioma located in the third ventricle. This infrequent localization of cavernous hemangioma was discussed under the light of the lesions' clinical and radiological features, and the outcomes of the interhemispheric transcallosal transforaminal surgical approach. Interhemispheric transcallosal and transforaminal approach is a safe route for total excision of benign lesions, such as colloid cyst and cavernous hemangioma, which are located anteriorly in the third ventricle.Benign veya malign karakterli üçüncü ventrikül yerleşimli kitleler farklı klinik bulgular ile presente olabilirler. Bu çalışmamızda üçüncü ventrikül yerleşimli 3 kolloid kist ve nadir olan bir kavernöz hemanjiomdan oluşan olgularımız değerlendirilmiştir. Olguların klinik, radyolojik bulguları ve interhemisferik transkallosal transforaminal cerrahi yaklaşımın sonuçları ile beraber kavernöz hemangiomun sık rastlanmayan bu yerleşimi tartışılmıştır. Ventrikül anterioruna yerleşmiş kolloid kist ve kavernöz hemanjiom gibi benign lezyonlarda interhemisferik trankallozal ve transforaminal yaklaşım total eksizyon için güvenli bir yoldur.

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“…At 1 year the patient is doing well at follow up except mild memory disturbances. [5,[13][14][15][16]. Clinically colloid cysts can be asymptomatic (incidental finding on neuroimaging), seizures, can present with features of raised intracranial pressure (headache, vomiting, and papilledema) due to the development of hydrocephalus or can cause progressive memory loss thus requiring surgical intervention [1,2,11,14,16,17].…”

Section: Case Reportmentioning

confidence: 99%

“…Although on neuroimaging a diagnosis of colloid can be suspected, however histopathology will confirm the diagnosis [1,18,19]. The management options for colloid cysts include stereotactic aspiration, endoscopic fenestration and microsurgical excision [15,20,[23][24][25]. Because of the large size of the lesion, complete surgical excision by transcortical/transventricular approach is preferred modality of management for giant size lesions [2,11].…”

Section: Case Reportmentioning

confidence: 99%

Giant colloid cyst of the third ventricle: challenges in management

Agrawal¹,

Santhi

Umamaheswara

2016

Chin Neurosurg Jl

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Background: Giant colloid cysts (size > 3 cm) are very rare with only few reported cases in the literature. Case presentation: We report a case of 44 year female who presented with features of raised intracranial pressure, memory and gait disturbances. CT and MR imaging showed a large colloid cyst at foramen of Monro leading to obstructive hydrocephalus. The patient underwent right interhemispheric transcallosal-transforaminal approach and complete excision of the cyst. Conclusions: For a large size of colloid cyst complete surgical excision is recommended. However deep midline location, proximity to the vital structures and giant size of the lesions make surrounding vital structures vulnerable for injury.

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Sudden death in a patient with a third ventricle colloid cyst

Cited by 14 publications

References 5 publications

Colloid cyst of the third ventricle, hypothalamus, and heart: a dangerous link for sudden death

Colloid cyst of the third ventricle, hypothalamus, and heart: a dangerous link for sudden death

Üçüncü ventrikül anterior yerleşimli benign lezyonlarda interhemisferik transkallozal transforaminal yaklaşım: olgu serisi

Giant colloid cyst of the third ventricle: challenges in management

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