Neuroendoscopic Excision of Third Ventricular Colloid Cysts
Journal Title: International Journal of Neurology and Neurosurgery - Year 2018, Vol 10, Issue 4
Abstract
Objective: Several surgical approaches have been proposed for the treatment of colloid cysts, which still remains controversial. Though microsurgical craniotomy is more apt to result in a gross total resection, yet subtotal resections and recurrences occur even with best possible efforts. Off late, endoscopy is emerging as an effective alternative to address various intraventricular lesions. Methods: The study was carried out on 23 patients (Males-14, Females-9) spanning over a period of 8 years. The age group of the patients ranged from 16years-60 years. Depending on the radiological appearance, the procedure was performed via a right or left precoronal burr hole. We aimed for complete resection of the entire cyst, including the cyst wall. Only in situations in which a part of the cyst wall could not be separated from neural or vascular structures, it was coagulated and left in situ. Results: The Follow-up period ranged from a period of 2 months-96 months. All patients were operated by precoronal uniportal transventricular technique without using any navigation system. Twenty two patients were operated by transforaminal approach. One patient required trans-septal approach. Complete excision was possible in 20 cases, while in three patients a small part of cyst was left to avoid venous injury. The operative time ranged between 45 to 100 minutes. Resolution of the symptoms was obtained in all our patients without any mortality. Conclusion: These results show that endoscopy is a safe and effective alternative to the well established approaches of microsurgical removal and stereotactic aspiration with a quicker return to active life and low or negligible direct surgical morbidity.
Authors and Affiliations
Ashish Chugh
Keywords
Related Articles
- EP ID EP562946
- DOI 10.21088/ijnns.0975.0223.10418.11
- Views 78
- Downloads 0
Multifocal Non Contagious and Contagious Spinal Tuberculosis in a Immunocompetent Patient
Spinal tuberculosis, also known as Pott’s disease is a common extrapulmonary manifestation of tuberculosis. It commonly involves the dorsal spine as paradiscal lesion with destruction of intervening disc with subligament...
Paediatric Craniopharyngiomas: Our Experience of 27 Cases
Introduction: Craniopharyngiomas are benign neoplasms of the sellar/suprasellar region. Management of these lesions always poses a challenge to neurosurgeons. Methods: Between 2012 and 2016, a total of 27 paediatric pati...
Analysis of Montreal Cognitive Assessment and Minimental State Examination in Patients with Mild Traumatic Brain Injury
Background: 5209 of patients may have persistent symptoms including cognitive deficits following mild traumatic brain in6ury (mTBI). The Montreal Cognitive Assessment (MOCA) is a simple tool specifically designed to scr...
Comparison of Decompressive Craniectomy and Maximal Medical Management with Barbiturates in Severe Traumatic Brain Injury Patients with Refractory ICP: A Randomized Controlled Study
Context: Traumatic brain injury is the major cause of death and disability worldwide. Management of severe traumatic brain injury still remains elusive, some prefer surgical intervention while others advocate medical tre...
Anatomical Landmarks for Safe Surgeries in Petroclival Region of Skull Base by Intradural Anterior Petrosectomy Via Transylvian-Transtentorial Route: A Cadaveric Study
Objectives: The Petroclival lesions are difficult to excise surgically because of their location. Anterior petrosectomy by an extradural subtemporal route is the standard procedure for removal of Petroclival meningiomas...