Stereotactic Aspiration of Colloid Cysts of the Third Ventricle

Musolino, Antonino; Munari, C.; Fosse, Sabine; Blond, S.; Betti, Osvaldo; Daumas-Duport, Cathérine; Chodkiewicz, J. P.

doi:10.1159/000100801

Cited by 3 publications

(1 citation statement)

References 15 publications

(18 reference statements)

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“…Early reports showed promising results, but the rate of residual and recurrent cysts was unacceptably high in subsequent studies (22,31,38,41,42,48). Although two studies identified imaging factors that helped predict success with this technique, it has now largely been replaced by endoscopy (18,31).…”

Section: Alternative Treatmentsmentioning

confidence: 99%

Treatment Options for Third Ventricular Colloid Cysts

et al. 2007

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Section: Alternative Treatmentsmentioning

confidence: 99%

Treatment Options for Third Ventricular Colloid Cysts

et al. 2007

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Stereotactic approach to intracranial lesions

Russo

Munari

Betti³

et al. 1992

Ital J Neuro Sci

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The diagnostic and therapeutic approach to intracranial lesions must be different considering the different possibilities offered by the various methods. The diagnostic reliability and safety of stereotactic biopsy are often indispensable in order to optimize the subsequent therapy. The results obtained in selected pathologies allow us to propose the stereotactic approach to treat: -various kind of cysts by aspiration and/or Beta endocavitary radiation therapy; -blood or abscessual collections that can be aspirated in a similar way; -arterio venous malformations or tumours by radiosurgery; -tumours by brachicurietherapy or by computer assisted stereotactic surgery. We present some cases treated at the C.H.S.A. of Paris and at the C.H.R.U. of Grenoble utilizing Talairach methodology.

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Rate of Recurrence following Stereotactic Aspiration of Colloid Cysts of the Third Ventricle

Rajshekhar

2012

Stereotact Funct Neurosurg

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Background: The rate of recurrence following stereotactic aspiration of colloid cysts is not defined in the literature. Aims: To study the long-term imaging and clinical outcome in patients who had stereotactic aspiration of colloid cysts of the third ventricle. Methods: Between 1987 and 1994, computerized tomography-guided stereotactic aspiration was attempted in 26 consecutive patients with colloid cysts of the third ventricle. Results: There was no mortality or permanent morbidity. A complete aspiration of the cyst was possible in 17 patients, a partial aspiration of the cyst was achieved in 6 and the aspiration failed in 3 patients. On long-term follow-up, symptomatic recurrence was noted in 5/6 patients after partial aspiration and 4/17 patients after complete aspiration (mean follow-up 84.8 months). Kaplan-Meier analysis revealed that after complete aspiration of the cyst, median time to recurrence on imaging is 42 months (95% CI 23.0–60.9 months) but median time to symptomatic recurrence is much later at 184 months (95% CI 88.2–279.7 months). Conclusions: Stereotactic aspiration of colloid cysts remains a valid surgical option as complete aspiration leads to a good long-term outcome in several patients. Partial aspiration of the cyst should be followed by excision of the cyst, due to the high rate of symptomatic recurrence. However, periodic follow-up imaging is mandatory even after complete aspiration as delayed recurrences are possible.

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Stereotactic Aspiration of Colloid Cysts of the Third Ventricle

Cited by 3 publications

References 15 publications

Treatment Options for Third Ventricular Colloid Cysts

Treatment Options for Third Ventricular Colloid Cysts

Stereotactic approach to intracranial lesions

Rate of Recurrence following Stereotactic Aspiration of Colloid Cysts of the Third Ventricle

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