Third ventricular colloid cysts in children

Pediatric Neurosurgery
Ahmed A R MaqsoodKolluri V R Sastry

Abstract

Colloid cysts of the 3rd ventricle are relatively rare intracranial tumours, more so in children. They are benign tumours with excellent prognosis if diagnosed and treated early. A retrospective analysis of 18 cases of colloid cysts in children below 18 years, operated in our institution between September 1998 and November 2003 (5 years) was made. Clinical presentation, radiological findings, surgical approaches and outcome were analysed. Age ranged from 7 to 18 years. The male-to-female ratio was 12:6. Headache and vomiting were the most common symptoms. Papilloedema was the most common clinical sign. Pre-operative CT showed a hyperdense non-enhancing lesion in the majority. Twelve patients underwent a transcallosal, 2 a transcortical and 4 an endoscopic approach. Ventriculoperitoneal shunts were done in 5 patients. Postoperatively 2 patients developed epidural haemorrhage which required evacuation. One patient was re-explored for symptomatic residue. A mean follow-up of 10.2 months was available in 9 patients; the majority were asymptomatic. Colloid cysts though rare are increasingly detected in children. Their early recognition and treatment give excellent results.

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Citations

Dec 19, 2012·Journal of Pediatric Neurosciences·Ravindranath KapuRavi Ramamurthi
Aug 2, 2014·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Omar ChoudhriRaphael Guzman
Oct 27, 2009·Acta neurochirurgica·Vijendra KumarVijendra K Jain
May 19, 2010·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Wael HassaneenRaymond Sawaya
May 20, 2008·Pediatric Neurology·Muhammad U FarooqHoward T Chang
Oct 18, 2011·Pediatric Neurology·Ethan M GoldbergSage R Myers
Nov 14, 2008·Neurosurgery·Rossana RomaniJuha A Hernesniemi
Mar 1, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Vikas VazhayilSampath Somanna
Feb 17, 2021·Neurosurgical Review·Walid ElshamyMustafa K Baskaya

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