Extirpation of Colloid Cyst by an Endoscopic Approach

Czech version

Authors: D. Krahulík; M. Vaverka; L. Hrabálek; M. Halaj; M. Hampl
Authors‘ workplace: Neurochirurgická klinika LF UP a FN Olomouc
Published in: Cesk Slov Neurol N 2017; 80/113(1): 107-111
Category: Case Report

Overview

The authors assessed the results of colloid cyst extirpation by an endoscopic approach. The sample consisted of eleven consecutive patients with a rigid endoscope surgery achieving radical resection and requiring one conversion to open microsurgical transcortical access only. The surgical approach was always indicated individually based on preoperative imaging and experience of the authors and with an effort to minimize postoperative morbidity. Increasing age and concurrent hydrocephalus seem to be more important risk factors for postoperative psychological changes than the actual surgical approach. The authors reflect on the limits and technical potential of endoscopic treatment approach and emphasize the need for individualized approach based on preoperative MRI imaging, the content of the cysts and other aspects.

Key words:
colloid cyst – hydrocephalus – endoscopic extirpation

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

Chinese summary - 摘要

胶体囊肿III的内窥镜摘除。大脑房间

摘要

作者评估的胶样囊肿内镜下摘除方法的结果。样本包括通过硬性内窥镜操作的11例患者

达到根治性切除，并需要一个转换开经皮层显微外科方法。手术方法适应症一直术前的看法和作者的经验的基础上单独进行为了尽量减少术后并发症发生率。随着年龄的增加和结社脑积水他们似乎比术后心理变化更为重要的危险因素实际操作方法。笔者反映的限制和技术的可能性根据术前与个人资产负债表的重视内镜治疗方法磁共振成像，字符内容囊肿等方面。

关键词：

胶样囊肿 - 脑积水 - 内窥镜摘除

Sources

1. Lach B, Scheithauer BW, Gregor A, et al. Colloid cyst of the third ventricle. A comparative immunohistochemical study of neuraxis cysts and choroid plexus epithelium. J Neurosurg 1993;78(1):10111.

2. Pollock BE, Huston J 3rd. Natural history of asymptomatic colloid cysts of the third ventricle. J Neurosurg 1999;91(3):364– 9.

3. Pollock BE, Schreiner SA, Huston J 3rd. A theory on the natural history of colloid cysts of the third ventricle. Neurosurg 2000;46(5):1077– 81.

4. Ho KL, Garcia JH. Colloid cysts of the third ventricle: ultrastructural features are compatible with endodermal derivation. Acta Neuropathol 1992;83(6):605– 12.

5. Hamlat A, Pasqualini E, Askar B. Hypothesis about the physiopathology of acute deterioration and sudden dech caused by colloid cysts of the third ventricle. Med Hypotheses 2004;63(6):1014– 7.

6. Hohenstein C, Herdtle S. Unexpected death from a colloid cyst. Int J Emerg Med 2010;3(1):65– 6. doi: 10.1007/ s12245-009-0153-4.

7. Algin O, Ozmen E, Arslan H. Radiologic manifestations of colloid cysts: a pictorial essay. Can Assoc Radiol J 2013;64(1):56– 60. doi: 10.1016/ j.carj.2011.12.011.

8. Dandy WE. Benign tumors in the third ventricle of the brain: diagnosis and treatment. Springfield, Il: Charles C. Thomas 1933.

9. Longatti P, Godano U, Gangemi M, et al. Cooperative study by the Italian neuroendoscopy group on the treatment of 61 colloid cysts. Childs Nerv Syst 2006;22(10):1263– 7.

10. Sampath R, Vannemreddy P, Nanda A. Microsurgical excision of colloid cyst with favorable cognitive outcomes and short operative time and hospital stay: operative techniques and analyses of outcomes with review of previous studies. Neurosurg 2010;66(2):368– 74. doi: 10.1227/ 01.NEU.0000363858.17782.82.

11. Kehler U, Brunori A, Gliemroth J, et al.Twenty colloid cysts – comparison of endoscopic and microsurgical management. Minim Invasive Neurosurg 2001;44(3):121– 7.

12. Horn EM, Feiz-Erfan I, Bristol RE, et al. Treatment options for third ventricular colloid cysts: comparison of open microsurgical versus endoscopic resection. Neurosurg 2007;60(4):613– 8.

13. Pamir MN, Peker S, Türe U, et al. Anterior transcallosal approach to the colloid cysts of the thirdventricle: case series and review of the literature. Zentralbl Neurochir 2004;65(3):108– 15.

14. Hernesniemi J, Leivo S. Management outcome in third ventricular colloid cysts in a defined population: a series of 40 patients treated mainly by transcallosal microsurgery. Surg Neurology 1996;45(1):2– 14.

15. Milligan BD, Meyer FB. Morbidity of transcallosal and transcortical approaches to lesions in and around the lateral and third ventricles: a single-institution experience. Neurosurg 2010;67(6):1483– 96. doi: 10.1227/ NEU.0b013e3181f7eb68.

16. Solaroglu I, Beskonakli E, Kaptanoglu E, et al. Transcortical-transventricular approach in colloid cysts of the third ventricle: surgical experience with 26 cases. Neurosurg Rev 2004;27(2):89– 92.

17. Osorio J A, Clark A J, Safaee M, et al. Intraoperative conversion from endoscopic to open transcortical-transventricular removal of colloid cysts as a salvage procedure. Cureus 2015;7(2):e247. doi: 10.7759/ cureus.247.

18. Annamalai G, Lindsay KW, Bhattacharya JJ. Spontaneous resolution of a colloid cyst of the third ventricle. Br J Radiol 2008;81(961):20– 2.

19. Kumar K, Kelly M, Toth C. Stereotactic cyst wall disruption and aspiration of colloid cysts of the third ventricle. Stereotact Funct Neurosurg 1998;71(3):145– 52.

20. Leonardo J, Hanel RA, Grand W. Endoscopic tracking of a ventricular catheter for entry into the lateral ventricle: technical note. Minim Invasive Neurosurg 2009;52(5– 6): 287– 9. doi: 10.1055/ s-0029-1243241.

21. Chibbaro S, Champeaux C, Poczos P, et al. Anterior trans-frontal endoscopic management of colloid cyst: an effective, safe, and elegant way of treatment. Case series and technical note from a multicenter prospective study. Neurosurg Rev 2014;37(2):235– 41. doi: 10.1007/ s10143-013-0508-4.

22. Idris Z, Hallaert G, Vanhauwaert D, et al. Frameless neuronavigation-guided endoscopic total en-bloc removal of a third ventricular colloid cyst: a case report on surgical technique. Minim Invasive Neurosurg 2008;51(3):173– 7. doi: 10.1055/ s-2008-1073133.

23. Bergsneider M. Complete microsurgical resection of colloid cysts with a dual-port endoscopic technique. Neurosurgery 2007;60(Suppl 1):33– 42.

24. Yadav YR, Yadav S, Sherekar S, et al. A new minimally invasive tubular brain retractor system for Sumery of deep brain lesions. Neurol India 2011;59(1):74– 7. doi: 10.4103/ 0028-3886.76870.

25. Pinto FC, Chavantes MC, Fonoff ET, et al. Treatment of colloid cysts of the third ventricle through neuroendoscopic Nd: YAG laser stereotaxis. Arq Neuropsiquiatr 2009;67(4):1082– 7.

26. Yadav YR, Parihar V, Kher Y. Complication avoidance and its management in endoscopic neurosurgery. Neurol India 2013;61(3):217– 25. doi: 10.4103/ 0028-3886.115051.

27. Levine NB, Miller MN, Crone KR. Endoscopic resection of colloid cysts: indications, technique, and results during a 13-year period. Minim Invasive Neurosurg 2007;50(6):313– 7. doi: 10.1055/ s-2007-993215.

28. Mishra S, Chandra PS, Suri A, et al. Endoscopic management of third ventricular colloid cysts: Eight years’ institutional experience and description of a new technique. Neurol India 2010;58(3):412– 7. doi: 10.4103/ 0028-3886.66222.

29. Yadav YR, Parihar V, Pande S, et al. Endoscopic management of colloid cysts. J Neurol Surg A Cent Eur Neurosurg 2014;75(5):376– 80. doi: 10.1055/ s-0033-1343984.

30. Kadaňka Z, Bednařík J, Smrčka V, et al. Koloidní cysta III. mozkové komory: benigní či nebenigní afekce mozku. Cesk Slov Neurol N 1998;61/ 94(6):340– 6.

31. Chytka T, Urgošík D, Vladyka V, et al. Koloidní cysty III. komory a stereotaktická aspirace. Cesk Slov Neurol N 1995;62(2):99– 103.