Endoscopic resection of colloid cysts: indications, technique, and results during a 13-year period

Minimally Invasive Neurosurgery : MIN
N B LevineK R Crone

Abstract

Questions of recurrence and inadequacy of follow-up length persist regarding endoscopic treatment of colloid cysts. In this retrospective review, we report our long-term follow-up during a 13-year period in 35 patients who underwent endoscopic resection of colloid cysts. The 19 males and 16 females (age range 14 to 58 years, mean 35.9 years) who had symptomatic colloid cysts that ranged in size from 5 mm to 4 cm underwent endoscopic resection in the period from 1991 to 2004. Of 2 patients who developed recurrences at 5.9 years and 4.3 years (1 and 6 mm, respectively) both remain asymptomatic. The rate of late asymptomatic recurrence in this series is 6.3%. Three endoscopic resections were converted to an open craniotomy. Three operative complications occurred (i.e., introducer tract hemorrhage, thalamic stroke secondary to thermal injury, epidural hematoma that required evacuation). Four patients noted minimal short-term memory loss without interference in daily living. Of 3 patients with shunts preoperatively, all have no evidence of hydrocephalus after shunt removal. Two patients have asymptomatic ventriculomegaly. Prophylactic anticonvulsants were not prescribed and no seizures were reported. No infections were recorded with...Continue Reading

Citations

Nov 6, 2013·Minimally Invasive Surgery·Sean M BarberDavid Baskin
Mar 13, 2014·Journal of Neurosurgery·Maurizio IacoangeliMassimo Scerrati
Jun 14, 2014·Journal of Neurosurgery·Leonardo Rangel-CastillaPeter Nakaji
Sep 17, 2016·Journal of Ultrasound·Assunta FilippiniFrancesco DiMeco
Dec 26, 2013·World Neurosurgery·Eric Anthony SribnickCostas G Hadjipanayis
Aug 7, 2013·World Neurosurgery·Blake N StaubDavid S Baskin
Mar 3, 2012·World Neurosurgery·Konstantinos Margetis, Mark M Souweidane
May 12, 2020·Operative Neurosurgery·Amin B KassamSrikant S Chakravarthi
May 12, 2017·Journal of Korean Neurosurgical Society·Myung-Hyun Kim
Sep 22, 2020·British Journal of Neurosurgery·Ahmed YassinNicholas Levine
Apr 18, 2020·Behavioural Neurology·Jehuda Soleman, Raphael Guzman

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