Summary
The authors report a case of a huge colloid cyst of the septum pellucidum with acute worsening. A 42-year-old man was admitted for unexplained lethargy. A brain CT scan disclosed a huge intra-ventricular lesion.
He experienced a sudden deterioration with coma, and was managed with bilateral ventricular external shunting. Total removal was performed a few days later using a right frontal trans-ventricular approach.
The discussion focuses on colloid cyst potential to mimic other intracranial lesions, rendering accurate diagnosis difficult and leading to possibly inappropriate management in similar cases.
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Hamlat, A., Casallo-Quiliano, C., Saikali, S. et al. Huge colloid cyst: case report and review of unusual forms. Acta Neurochir 146, 397–401 (2004). https://doi.org/10.1007/s00701-004-0221-8
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DOI: https://doi.org/10.1007/s00701-004-0221-8