Giant colloid cyst of the third ventricle: challenges in management. Issue 1 (December 2016)

• Record Type: Journal Article
• Authors: Agrawal, Amit; Santhi, Vissa; Umamaheswara, Reddy
• Is Part Of: Chinese neurosurgical journal. Volume 2:Issue 1(2016)
• Page Start: 1
• Page End: 5
• Publication Date: 2016-12
• Subjects: Colloid cyst -- Giant -- Intracranial tumor; Nervous system -- Surgery -- Periodicals; Neurosciences -- Periodicals; 617.48005
• DOI: 10.1186/s41016-016-0031-x
• Languages: English
• ISSNs: 2057-4967

Abstract

Abstract Background Giant colloid cysts (size > 3 cm) are very rare with only few reported cases in the literature. Case presentation We report a case of 44 year female who presented with features of raised intracranial pressure, memory and gait disturbances. CT and MR imaging showed a large colloid cyst at foramen of Monro leading to obstructive hydrocephalus. The patient underwent right interhemispheric transcallosal-transforaminal approach and complete excision of the cyst. Conclusions For a large size of colloid cyst complete surgical excision is recommended. However deep midline location, proximity to the vital structures and giant size of the lesions make surrounding vital structures vulnerable for injury.