Colloid cyst: a case report and literature review of a rare but deadly condition

The Journal of Emergency Medicine
Roger L HumphriesRebecca C Bowers

Abstract

Colloid cysts are congenital benign tumors accounting for 0.2-2% of all intracranial neoplasms but representing 15-20% of all intraventricular masses. Emergency Physicians are more likely than any other group to encounter patients with a colloid cyst, a rare but life-threatening condition. The most common presenting complaint is severe episodic attacks of headache in a frontal location with associated nausea and vomiting. To describe a rare but potentially life-threatening cause of headache so that clinicians will rapidly recognize the significance of the condition and institute timely appropriate therapy. We describe the case of a 40-year-old man with a severe headache accompanied by confusion who was diagnosed with obstructive hydrocephalus associated with a colloid cyst in the third ventricle. Recognition of this rare but important diagnosis should prompt the Emergency Physician to obtain timely treatment so that rapid neurologic deterioration, herniation, and death can be prevented. A review of the pathophysiology, diagnosis, and current management is discussed.

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Citations

Apr 24, 2010·International Journal of Emergency Medicine·Christian Hohenstein, Steffen Herdtle
Oct 20, 2012·Diagnostic Pathology·Emanuela TurillazziVittorio Fineschi
Mar 20, 2014·Current Neurology and Neuroscience Reports·Esma Dilli
Dec 26, 2013·World Neurosurgery·Eric Anthony SribnickCostas G Hadjipanayis
Aug 7, 2013·World Neurosurgery·Blake N StaubDavid S Baskin
May 12, 2012·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Oktay AlginHalil Arslan
Feb 24, 2016·World Neurosurgery·Francis Abed RabboRomuald Seizeur
Aug 5, 2016·Journal of Forensic Sciences·Roger W Byard
Jan 31, 2017·The Journal of Headache and Pain·Silvia de PasquaSabina Cevoli
Jan 13, 2018·BMJ Case Reports·Hicham AbdellaouiYoussef Bouabdallah
Aug 20, 2021·Journal of the American College of Emergency Physicians Open·Alisa RobertsMohamad Moussa

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