Endoscopic Treatment of a Third Ventricular Epidermoid Cyst

Paz, Daniel; Costa, Marcos Devanir Silva da; Rodrigues, Thiago; Riechelmann, Guilherme Salemi; Suriano, Ítalo Capraro; Zymberg, Samuel Tau

doi:10.1016/j.wneu.2016.11.149

Cited by 3 publications

(5 citation statements)

References 18 publications

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“…Surgery remained to be the first-line treatment for ECs with the aim of GTR whenever possible to minimize recurrence. However, it could still be surgically challenging for deep-seated lesions and lesions closely adhesive to important blood vessels and parenchyma 15 . When EC coexisted with CFD, the bone lesion might make the exposure of EC more difficult and influence the surgical approach, especially when they were in close juxtaposition.…”

Section: Discussionmentioning

confidence: 99%

“…Lesions arising in the interhemispheric fissure accounted for ~4% of all intracranial locations, with seizure being the most common presentation 14 . The third ventricle ECs were also rare and constituted only 0.7% of all intracranial ECs 15 . The special anatomic location of the included ECs also indicated that there might be possible interactions between ECs and CFD.…”

Section: Discussionmentioning

confidence: 99%

“…However, it could still be surgically challenging for deep-seated lesions and lesions closely adhesive to important blood vessels and parenchyma. 15 When EC coexisted with CFD, the bone lesion might make the exposure of EC more difficult and influence the surgical approach, especially when they were in close juxtaposition. In addition, when surgical intervention was considered for both EC and CFD, attention should be paid to evaluating whether 1-stage surgery ought to be adopted.…”

Section: Discussionmentioning

confidence: 99%

“…14 The third ventricle ECs were also rare and constituted only 0.7% of all intracranial ECs. 15 The special anatomic location of the included ECs also indicated that there might be possible interactions between ECs and CFD.…”

Section: Discussionmentioning

confidence: 99%

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Intracranial Dermoid in Patients With Fibrous Dysplasia

Song

2023

Journal of Craniofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Intracranial Dermoid in Patients With Fibrous Dysplasia

Song

2023

Journal of Craniofacial Surgery

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“…[3,19] They are most commonly found in the cerebellopontine angle and are only rarely seen in the ventricular system. [16,19,25] Symptoms associated with these lesions included: headaches, nausea, vomiting, and visual disturbances caused by increased intracranial pressure due to obstructive hydrocephalus. When symptomatic, the definitive treatment for epidermoid cysts is surgical resection.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic resection of the third ventricular epidermoid cysts: A case review and review of literature

Kashyap

Cheema

Chhabra

2019

Surgical Neurology International

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Background: Epidermoid cysts are benign, congenital lesions that originate from ectodermal cells, they are most commonly found in the cerebellopontine angle, but rarely in the ventricular system. There is limited literature regarding the different microsurgical techniques utilized to approach these lesions. Methods: A 63-year-old female with a recurrent third ventricular epidermoid cyst underwent gross total resection utilizing an endoscopic technique. We also reviewed the various endoscopic/microsurgical approaches and outcomes reported in literature. Results: We identified 15 cases, including our own. Nine of these were managed using microsurgical techniques, while six cases (including ours) were treated endoscopically; gross total resection was achieved in 10/15 cases (67%). Most commonly, surgeons utilized the interhemispheric transcallosal approach (five cases). Tumor recurrence was seen in two cases. Complications attributed to these resections included: disorders of the hypothalamic-pituitary axis (3) – diabetes insipidus, galactorrhea, and hypopituitarism; tumor recurrence (2); aseptic meningitis (1); and a transient Korsakoff syndrome (1). Conclusion: Epidermoid cysts of the third ventricle are exceedingly rare, and surgical resection is generally well tolerated. Microsurgical transcortical, transcallosal, and endoscopic approaches each have advantages and disadvantages, and are associated with unique procedure-specific complications. Continuing technological improvement would favor endoscopic approaches for resection of tumors of the third ventricle in the future.

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