Endoscopic colloid cyst excision: surgical techniques and nuances

Azab, Waleed A.; Najibullah, Mustafa; Yosef, Waleed

doi:10.1007/s00701-017-3176-2

Cited by 14 publications

(10 citation statements)

References 7 publications

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“…However, shunt placement is associated with a higher risk of complications, including infection, shunt malfunction, and overdrainage [3,5]. In addition, due to its minimal invasiveness and high effectiveness, the endoscopic removal of colloid cysts has gained widespread acceptance, leading to lower morbidity rates in comparison to microsurgical resection [6].…”

Section: Discussionmentioning

confidence: 99%

Giant Colloid Cyst: A Rare Etiology for Chronic Headache

Bukannan¹,

Aljawad²

2023

Cureus

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Chronic headache affects a significant proportion of the population and can be caused by an underlying lesion or a serious condition. This case report describes a 38-year-old male with a history of chronic migraine headaches who presented with syncope. The patient was found to have bilateral papilledema on fundoscopic examination and a well-circumscribed, oval-shaped lesion located within the intraventricular septum on MRI. The lesion was identified as a colloid cyst and was surgically removed through endoscopic transnasal excision. The patient's symptoms improved significantly postoperatively, including the resolution of his chronic headaches and syncope. This case report highlights the importance of considering space-occupying lesions as a possible cause of chronic headaches, particularly when symptoms do not respond to conventional treatments. It demonstrates that an endoscopic transnasal resection is a feasible approach, even for large colloid cysts.

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Section: Discussionmentioning

confidence: 99%

Giant Colloid Cyst: A Rare Etiology for Chronic Headache

Bukannan¹,

Aljawad²

2023

Cureus

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“…This enables effective tissue resection 11 . The surgical techniques were used to endoscopically resect a colloid cyst include: (1) trans-foraminal, and (2) trans-septal approaches 12 . We used transforaminal approach for all patients in our series.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Transcortical Transventricular Colloid Cyst Excision — Our Experience

Haroon¹,

Taher²,

Alamgir³

et al. 2020

Bangla J. Neurosurgery

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Background: Colloid cyst of the third ventricle is a tumour arising from the roof of the third ventricle at the foramen of Monro. Endoscopic excision of colloid cyst is well established technique. There is less morbidity in comparison to the microsurgical resection. Materials and method: Seven patients with colloid cyst were treated with endoscopic excision. Of these five were males and two were female patients. Age ranged thirty to fifty five years from a period from Jan 2016 to Mar 2019 in NINS&H. Results: Most patients had signs of raised intracranial pressure before surgery. Six patients needed post operative VP shunt. Some patients had contusion of the fornix but did not have any memory impairment. Five patients had remnant but there was no symptoms after surgery. Conclusion: Endoscopic excision of the colloid cyst is a good option. Total removal of the tumour is the goal but little remnant of the tumour attached to the tela choroidae is accepted. One year follow-up showed no recurrence of the cyst. Bang. J Neurosurgery 2020; 9(2): 94-98

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“…Based on anatomical knowledge, preoperative radiological evaluation and intraoperative findings, surgical planning and techniques for intraventricular endoscopic surgery may vary. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

Third ventricle colloid cysts: An endoscopic case series emphasizing technical variations

Zymberg¹,

Riechelmann²,

Costa³

et al. 2021

Surgical Neurology International

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Background: Colloid cyst treatment with purely endoscopic surgery is considered to be safe and effective. Complete capsule removal for gross total resection is usually recommended to prevent recurrence but may not always be safely feasible. Our objective was to assess the results of endoscopic surgery using mainly aspiration and coagulation without complete capsule resection and discuss the rationale for the procedure. Methods: A retrospective review was conducted of 45 consecutive symptomatic patients with third ventricle colloid cysts that were surgically treated with purely endoscopic surgery from 1997 to 2018. Results: Mean age was 35.4 years. Male-to-female ratio was 1:1. Clinical presentation included predominantly headache (80%). Transforaminal was the most used route (71.1%) followed by transeptal (24.5%) and interforniceal (4.4%). Capsule was intentionally not removed in 42 patients (93.3%) and cyst remnants were absent on postoperative MRI in 36 (85%). Mild complications occurred in 8 patients (17.8%). Surgery was statistically associated with cyst volume and ventricular size reduction. There were no serious complications, shunts or deaths. Follow-up did not show any recurrence or remnant growth that needed further treatment. Conclusion: Gross total resection may not be the main objective for every situation. Subtotal resection without capsule removal seems to be safer while preserving good results, especially in a limited resource environment. Remnants left behind should be followed but tend to remain clinically asymptomatic for the most part. Surgical planning allows the surgeon to choose among the different resection routes and techniques available. Decisions are predominantly based on preoperative imaging and intraoperative findings.

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Endoscopic colloid cyst excision: surgical techniques and nuances

Abstract: Variation of the technique is based on the specific patho-anatomical features of the colloid cyst being resected. For the trans-foraminal approach, we think that the rotational technique is associated with a more complete removal of the cyst wall and consequently lower recurrence rate.

Cited by 14 publications

References 7 publications

Giant Colloid Cyst: A Rare Etiology for Chronic Headache

Giant Colloid Cyst: A Rare Etiology for Chronic Headache

Endoscopic Transcortical Transventricular Colloid Cyst Excision — Our Experience

Third ventricle colloid cysts: An endoscopic case series emphasizing technical variations

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