Minim Invasive Neurosurg 2011; 54(2): 95-97
DOI: 10.1055/s-0031-1275734
Technical Note

© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Colloid Cyst Resection: Technical Note

H. Boogaarts1 , S. El-Kheshin2 , J. Grotenhuis1
  • 1Department of Neurosurgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
  • 2Department of Neurosurgery, Tanta School of Medicine, Tanta, Egypt
Further Information

Publication History

Publication Date:
07 June 2011 (online)

Abstract

Introduction: Since the first reported endoscopic treatment of colloid cysts of the third ventricle by Powel et al. in 1983, several endoscopic techniques have been described [1]. Therefore, the authors describe their technique of neuroendoscopic colloid cyst removal, developed during the last 16 years.

Technique: With the aid of the specially designed, no-through perforator, the colloid cyst is first partially evacuated to facilitate further dissection and mobilization. By intermittent gentle traction to mobilize the cyst out of the foramen of Monro, detachment from the tela choroidea is finally obtained, making total removal possible.

Conclusions: With the described endoscopic technique, complete removal of colloid cysts is possible in almost 90 % of cases.

References

  • 1 Powell MP, Torrens MJ, Thomson JL. et al . Isodense colloid cysts of the third ventricle: a diagnostic and therapeutic problem resolved by ventriculoscopy.  Neurosurgery. 1983;  13 234-237
  • 2 Abdou MS, Cohen AR. Endoscopic treatment of colloid cysts of the third ventricle. Technical note and review of the literature.  J Neurosurg. 1998;  89 1062-1068
  • 3 Decq P, Le GC, Brugieres P. et al . Endoscopic management of colloid cysts.  Neurosurgery. 1998;  42 1288-1294
  • 4 Hellwig D, Bauer BL, Schulte M. et al . Neuroendoscopic treatment for colloid cysts of the third ventricle: the experience of a decade.  Neurosurgery. 2003;  52 525-533
  • 5 King WA, Ullman JS, Frazee JG. et al . Endoscopic resection of colloid cysts: surgical considerations using the rigid endoscope.  Neurosurgery. 1999;  44 1103-1109
  • 6 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 1263-1267
  • 7 Rodziewicz GS, Smith MV, Hodge Jr CJ. Endoscopic colloid cyst surgery.  Neurosurgery. 2000;  46 655-660
  • 8 Schroeder HW, Gaab MR. Endoscopic resection of colloid cysts.  Neurosurgery. 2002;  51 1441-1444
  • 9 Boogaarts HD, Decq P, Grotenhuis JA. et al . Long-term results of neuroendoscopic management of colloid cysts of the third ventricle. A series of 90 cases.  Neurosurgery accepted for publication.
  • 10 McMackin D, Cockburn J, Anslow P. et al . Correlation of fornix damage with memory impairment in six cases of colloid cyst removal.  Acta Neurochir (Wien). 1995;  135 12-18

Correspondence

H. Boogaarts

Department of Neurosurgery

Radboud University Nijmegen

Medical Centre

Reinier Postlaan 4

6500 HB Nijmegen

The Netherlands

Phone: +31/243/617 319

Fax: +31/243/541 587

Email: h.boogaarts@nch.umcn.nl

    >