Inchoate guidelines of endoscopic resection of colloid cysts. (January 2020)

• Record Type: Journal Article
• Authors: Burhan Janjua, M.; Reddy, Sumanth; El Ahmadieh, Tarek Y.; Ban, Vin Shen; Hwang, Steven W.; Ozturk, Ali K.; Price, Angela V.; Weprin, Bradley E.; Batjer, Hunt
• Is Part Of: Journal of clinical neuroscience. Volume 71(2020)
• Page Start: 1
• Page End: 8
• Publication Date: 2020-01
• Subjects: Colloid cyst, imaging characteristics -- Risk stratification -- Treatment guidelines, endoscopic resection; Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2019.12.017
• Languages: English
• ISSNs: 0967-5868

Abstract

Highlights: Colloid cyst. Endoscopic approach. modified Colloid Cyst Risk Score. Management algorithm. Abstract: Colloid cyst are cystic lesions in the third ventricle and could render patients asymptomatic. However, there is an inherent risk of symptomatic progression, acute decompensation, and sudden death. Therefore, there is no clear consensus as how to observe or when to treat a newly diagnosed patient with a colloid cyst. The authors' objective is to identify the risk factors and then develop a risk stratification score to guide neurosurgeons during acute or chronic presentation. Radiological imaging characteristics have been outlined for the risk stratification as well preoperative evaluation. A baseline neuropsychological evaluation is helpful to obtain during an incidental presentation because history and neurological examination could be inconclusive in these cases. Radiological imaging with an MRI brain scan plays a vital role for the initial screening (determination of the cyst size, exact location, and the imaging characteristics) as well as for the preoperative planning. Stereotactic guidance is a high yield, followed by neuroendoscopic resection of the colloid cyst has been an established approach to resect these lesions. Modified colloid cyst risk scoring (mCCRS) system is robust and detailed for the optimal risk stratification of colloid cyst presentation. Stereotactic guided neuroendoscopic resection of the colloid cyst is a safe and efficacious approach to manage these lesions. The intended use, crucial steps involved, and the limitations of the technique have been discussed especially with a focus on the recurrence. Moreover, a comprehensive treatment algorithm has been presented.