Endoscopic versus Open Microsurgical Excision of Colloid Cysts: A Comparative Analysis and State-of-the-Art Review of Neurosurgical Techniques

Alkhaibary, Ali; Baydhi, Laila; Alharbi, Ahoud; Alshaikh, Aljoharah A.; Khairy, Sami; Abbas, Munzir; Aboushady, Ashraf Mohamed Abdelkhalek; Almuntashri, Makki; Alassiri, Ali H.; Alkhani, Ahmed; Alferayan, Ahmed Abdulrahman; Aloraidi, Ahmed

doi:10.1016/j.wneu.2021.02.032

Cited by 10 publications

(13 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Headache is the most commonly reported symptom in patients with colloid cysts. [1,6,12] e frequency of other symptoms such as memory disturbance, dizziness, visual disturbance, and high ICP were similar to those reported in the literature. [4,17] Only one patient presented with a drop attack.…”

Section: Presenting Symptomssupporting

confidence: 87%

“…The prognosis for colloid cysts after surgical excision is favorable. [ 1 ] In our series, 100% of the presenting symptoms were significantly improved or resolved. Commonly reported complications after transcallosal colloid cyst resection include transient memory loss, seizures, transient hemiparesis, mutism, and sinus thrombosis.…”

Section: Discussionmentioning

confidence: 48%

“…Thus, it obstructs the flow of cerebrospinal fluid (CSF). [ 1 ] About 60% of colloid cysts identified remain asymptomatic and are found incidentally during the assessment of other neurological problems. [ 10 ] In most cases, surgical resection is the treatment of choice for large symptomatic colloid cysts.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes and complications of microscopic transcallosal colloid cyst resection: A single institution experience

Ajlan

Alwadee

Basindwah

et al. 2023

Surgical Neurology International

View full text Add to dashboard Cite

Background: Colloid cysts have always provoked the interest of neurosurgeons due to their benign histology, wide variety of clinical presentations, and differences in reported surgical outcomes. Although recent studies have reported favorable outcomes with different surgical resection approaches, the transcallosal approach remains the most popular approach to date. In this series, we report the clinical and radiological outcomes of the transcallosal approach for the resection of third ventricle colloid cysts in 12 patients. Methods: We present a case series of 12 patients who were radiologically diagnosed with a third ventricle colloid cyst who underwent transcallosal resection by a single surgeon in one center over a 6-year period. Clinical, radiological, and surgical data were collected, and surgical outcomes and complications were analyzed. Results: Of the 12 patients diagnosed with colloid cysts, 10 (83%) presented with headache, and five (41%) presented with memory disturbance. All 12 patients showed improvement or resolution of their symptoms following resection. Nine patients (75%) presented with hydrocephalus on radiology. All the patients required preoperative or intraoperative external ventricular drain insertion. Four patients (33%) experienced transient postoperative complications. None of the patients required long-term cerebrospinal fluids shunting. One (8%) of 12 patients experienced transient memory loss. No mortality was recorded during the follow-up. Conclusion: Transcallosal resection of colloid cysts has a favorable prognosis. It allows for complete resection of the cyst with minimal transient postoperative complications. Most patients with postoperative complications show complete resolution of symptoms, with no long-term morbidity.

show abstract

Section: Presenting Symptomssupporting

confidence: 87%

Section: Discussionmentioning

confidence: 48%

See 1 more Smart Citation

Outcomes and complications of microscopic transcallosal colloid cyst resection: A single institution experience

Ajlan

Alwadee

Basindwah

et al. 2023

Surgical Neurology International

View full text Add to dashboard Cite

show abstract

“…Difficulty can arise as critical neurovascular structures such as the fornices and internal cerebral veins are typically near to colloid cysts. Open microsurgical and endoscopic techniques have been described [5][6][7][8][9]. Although there have been several reports demonstrating fewer complications associated with endoscopy and better short-term outcomes, a meta-analysis on both of these procedures demonstrated a complete resection rate of 96.8%, favoring open microsurgery vs. 58.2% with endoscopy [6].…”

Section: Discussionmentioning

confidence: 99%

Decision-Making and Management in a Patient With Coexistent Colloid Cyst and Pituitary Macroadenoma: A Case Report

Koskay¹,

Opperman²,

Mezzacappa³

et al. 2022

Cureus

View full text Add to dashboard Cite

The coexistence of separate and distinct primary intracranial tumors is rare. Specifically, there are no previous reports of a colloid cyst coexisting with a pituitary macroadenoma. We present the case of a 40year-old male with a colloid cyst associated with mild enlargement of the right lateral ventricle and a coexistent pituitary macroadenoma with compression of the optic apparatus. An endoscopic endonasal transsphenoidal surgery (EETS) for resection of the pituitary mass was performed first due to the patient's complaints of acute visual changes. He then underwent a right frontal craniotomy for resection of the colloid cyst one month later. The patient recovered without residual deficits in vision, and he did not require ventricular shunting after removal of the colloid cyst. We aimed to discuss our decision-making process and the management of these coexistent lesions.

show abstract

“…Damages to the fornix structures have been widely associated with memory dysfunctions (6,(12)(13)(14), caused by the disconnection occurring within the limbic system itself (hippocampus and mammillary bodies) and the connection between the frontal lobes (cingulate gyrus) and the limbic system (thalamus, hippocampus). Otherwise, although the more common cognitive deficits after anterior callosotomy are related to long-term memory impairment, executive dysfunctions, and information exchange between the cerebral hemispheres (e.g., the interhemispheric transfer of motor learning and, to a lesser extent, processing speed) (15), there is still a lack of consensus about permanent cognitive deterioration after anterior body callosal resection (16,17). Here, we aim at investigating the clinical outcome and the brain functional and structural reorganization after a selective resection of the anterior part of the CC in a cohort of patients who underwent colloidal cyst removal through a new interhemispheric transcallosal surgical approach based on a parallel incision on the genu of CC (18).…”

Section: Introductionmentioning

confidence: 99%

Structural Brain Network Reorganization Following Anterior Callosotomy for Colloid Cysts: Connectometry and Graph Analysis Results

et al. 2022

View full text Add to dashboard Cite

Introduction:The plasticity of the neural circuits after injuries has been extensively investigated over the last decades. Transcallosal microsurgery for lesions affecting the third ventricle offers an interesting opportunity to investigate the whole-brain white matter reorganization occurring after a selective resection of the genu of the corpus callosum (CC).MethodDiffusion MRI (dMRI) data and neuropsychological testing were collected pre- and postoperatively in six patients with colloid cysts, surgically treated with a transcallosal-transgenual approach. Longitudinal connectometry analysis on dMRI data and graph analysis on structural connectivity matrix were implemented to analyze how white matter pathways and structural network topology reorganize after surgery.ResultsAlthough a significant worsening in cognitive functions (e.g., executive and memory functioning) at early postoperative, a recovery to the preoperative status was observed at 6 months. Connectometry analysis, beyond the decrease of quantitative anisotropy (QA) near the resection cavity, showed an increase of QA in the body and forceps major CC subregions, as well as in the left intra-hemispheric corticocortical associative fibers. Accordingly, a reorganization of structural network topology was observed between centrality increasing in the left hemisphere nodes together with a rise in connectivity strength among mid and posterior CC subregions and cortical nodes.ConclusionA structural reorganization of intra- and inter-hemispheric connective fibers and structural network topology were observed following the resection of the genu of the CC. Beyond the postoperative transient cognitive impairment, it could be argued anterior CC resection does not preclude neural plasticity and may subserve the long-term postoperative cognitive recovery.

show abstract

Endoscopic versus Open Microsurgical Excision of Colloid Cysts: A Comparative Analysis and State-of-the-Art Review of Neurosurgical Techniques

Cited by 10 publications

References 27 publications

Outcomes and complications of microscopic transcallosal colloid cyst resection: A single institution experience

Outcomes and complications of microscopic transcallosal colloid cyst resection: A single institution experience

Decision-Making and Management in a Patient With Coexistent Colloid Cyst and Pituitary Macroadenoma: A Case Report

Structural Brain Network Reorganization Following Anterior Callosotomy for Colloid Cysts: Connectometry and Graph Analysis Results

Contact Info

Product

Resources

About