Colloid cysts of the third ventricle exhibit various clinical presentation: a review of three cases

Ravnik, Janez; Bunc, Gorazd; Grcar, Anja; Žunić, Miodrag Vojislav; Velnar, Tomaž

doi:10.17305/bjbms.2014.3.38

Cited by 23 publications

(26 citation statements)

References 25 publications

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“…Familial cases of these lesions is extremely rare. 3,4 There is a lack of evidence on the role of genetic factors in the development of these lesions. Insights into the function of "paired"-like homeodomain transcription factor (Prop1) in the development of Rathke's pouch, the pituitary primordium, have been described in mice.…”

Section: Resultsmentioning

confidence: 99%

A Familial Case of Spontaneous Regression of Colloid Cyst of the 3rd Ventricle on Magnetic Resonance Imaging

Agrawal¹,

Grivas²,

joseph³

2020

Radiol Open J

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A 21-year-old male underwent screening for a positive family history of colloid cyst with an MRI scan. This suggested a lesion in the region of the roof of his 3 rd ventricle which was confirmed on a computerized tomography (CT) scan as a colloid cyst measuring 6 mm. Seven-years before his evaluation, the patient's father was found to have an approximately 20 mm colloid cyst with acute hydrocephalus for which he underwent excision. His sister suffered a sudden death at the age of 25. The cause of death was confirmed on autopsy as a colloid cyst which was undiagnosed and associated with acute hydrocephalus. At the time of evaluation, the patient was asymptomatic. On serial imaging in 1-year, there was a definite increase in size of the colloid cyst which now measured 8 mm along its maximum dimension. The colloid cyst also changed in signal intensity appearing more hyperintense on T2-weighted images and fluid-attenuated inversion recovery (FLAIR) sequence. A serial magnetic resonance imaging (MRI) was performed in 18-months as a part of ongoing surveillance with neuroimaging following the first presentation. This demonstrated a decrease in size and change in the shape of the colloid cyst, measuring 5 mm in maximum dimension, with associated decrease in ventricular size and resolution of hydrocephalus suggesting some spontaneous rupture of the colloid cyst. A CT head with unenhanced volume acquisition of the head demonstrated residual partially international organization for standardization (ISO), partially hyperdense colloid cyst seen at the foramen of Monro. This confirmed the findings of MRI with a decrease in size of residual colloid cyst measuring approximately 5 mm in maximal diameter with no residual hydrocephalus.

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Section: Resultsmentioning

confidence: 99%

A Familial Case of Spontaneous Regression of Colloid Cyst of the 3rd Ventricle on Magnetic Resonance Imaging

Agrawal¹,

Grivas²,

joseph³

2020

Radiol Open J

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“…[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]. CT scan with contrast administration can be the initial modality of investigation, however MRI will provide greater details regarding, size, relationship with the surrounding structures and nature of the cyst.…”

Section: Case Reportmentioning

confidence: 99%

“…[4,5,[18][19][20] Imaging appearance depend on the composition and density of the cysts contents (quantity of cholesterol and protein) [5,19,20]. Characteristically colloid cyst appear as welldelineated hyperdense lesion at the foramen of Monro Usually the colloid cyst does not enhance on CT as well as on MRI [2,5,[18][19][20][21]. Larger lesions can be associated with calcification in the cyst wall [11].…”

Section: Case Reportmentioning

confidence: 99%

“…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%

“…Intracranial colloid cysts usually present as incidental findings on neuroimaging [1,2]. Colloid cysts are of tremendous interest as they are of benign nature, are surgically challenging to manage as these are deeply located, and have an excellent prognosis when diagnosed early and totally excised [3].…”

Section: Introductionmentioning

confidence: 99%

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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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Colloid cyst of the third ventricle

et al. 2021

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A colloid cyst is a malformation composed of an amorphous, gelatinous material surrounded by epithelial and connective tissue. It is typically located in the third ventricle, leading to signs of increased intracranial pressure and hydrocephalus. In this case report, we discuss a classic presentation of a patient presenting with a colloid cyst of the third ventricle. This includes the patient's symptoms before arriving at the emergency department and presentation upon arrival and during their hospital stay. We also discuss the diagnostic approach to colloid cysts, providing radiographic imaging to support the diagnosis. Finally, we discuss the approach to treatment of a colloid cyst, including temporizing measures to relieve symptoms and definitive measures for removal of the colloid cyst. The overall approach from diagnosis to management to definitive treatment of a colloid cyst requires an interdisciplinary approach but prompt recognition of the signs and symptoms in the ED can decrease both morbidity and mortality associated with this potentially fatal diagnosis.

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Colloid cysts of the third ventricle exhibit various clinical presentation: a review of three cases

Cited by 23 publications

References 25 publications

A Familial Case of Spontaneous Regression of Colloid Cyst of the 3rd Ventricle on Magnetic Resonance Imaging

A Familial Case of Spontaneous Regression of Colloid Cyst of the 3rd Ventricle on Magnetic Resonance Imaging

Giant colloid cyst of the third ventricle: challenges in management

Colloid cyst of the third ventricle

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