Hasan Emre AYDIN, İsmail KAYA, Gönül GÜVENÇ, Ceren KIZMAZOĞLU, Orhan KALEMCİ, İnan UZUNOĞLU, Gökhan GÜRKAN, İlker Deniz CİNGÖZ, Murat SAYIN, Nurullah YÜCEER, Ali Osman MUCUOĞLU, Baran TAŞKALA

Clinical results and complications in patients Operated for colloid cyst

Aim: The present study aimed to report the peri- and postoperative complications in patients undergoing third ventricular colloidcyst resection using a microsurgical approach.Materials and Methods: A total of 29 patients with symptomatic third ventricular colloid cysts were operated upon via the microsurgerymethod at two different neurosurgery clinics, and their data were analyzed retrospectively.Results: Among them, 12 (41.4%) were men, and 17 (58.6%) were women. The mean age was 34.24 ±16.43 years, and the age rangewas 1–70 years. Headache was the most common symptom at reference and occurred in 21 (72.4%) patients. Also, ataxia wasthe presenting symptom in 7 (24.1%) of our patients, vomiting in 6 (20.7%), visual loss in 6 (20.7%), epileptic seizures in 4 (13.8%),incontinence in 4 (13.8%), and loss of consciousness in 1 (3.4%). Moreover, 19 (65.5%) had hydrocephalus, and two of them withweak consciousness were operated after the application of a preoperative external ventricular drainage systemConclusion: The interhemispheric transcallosal approach is the most commonly used method in colloid cyst microsurgery, andthe most frequent surgical complication is venous infarction secondary to this approach. Thus, the significant results of infarctthat occurred in patients with preoperative hydrocephalus suggest that this complication could be controlled more easily if thehydrocephalus and intracranial pressure are followed up more carefully in the pre- and perioperative periods.

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1. Armao D, Castillo M, Chen H, et al. Colloid Cyst of the Third Ventricle: Imaging-pathologic Correlation, AJNR Am J Neuroradiol 2000;21:1470-7.
2. Beaumont TL, Limbrick DD, Jr, et al. Natural history of colloid cysts of the third ventricle. J Neurosurg 2016;125:1420-30.
3. Brostigen CS, Meling TR, Marthinsen PB, et al. Surgical management of colloid cyst of the third ventricle. Acta neurol Scand 2017;135:484-7.
4. Brunori A, de Falco R, Delitala A, et al. Tailoring Endoscopic Approach to Colloid Cysts of the Third Ventricle: A Multicenter Experience. World Neurosurg 2018;117: 457-64.
5. Eshra MA. Endoscopic management of third ventricular colloid cysts in mildly dilated lateral ventricles. Neurosurg Rev 2019;42:127-32.
6. Greenlee JD, Teo C, Ghahreman A, et al. Purely endoscopic resection of colloid cysts. Neurosurg 2008;62:51-6.
7. Hernesniemi J, Leivo S. Management outcome in third ventricular colloid cysts in a defined population: a series of 40 patients treated mainly by transcallosal microsurgery. Surg Neurol 1996;45:2-14.
8. Konovalov AN, Pitskhelauri DI, Shkarubo M, et al. Microsurgical Treatment of Colloid Cysts of the Third Ventricle. World neurosurg 2017;105:678-88.
9. Samadian M, Ebrahimzadeh K, Maloumeh EN, et al. Colloid Cyst of the Third Ventricle: Long-Term Results of Endoscopic Management in a Series of 112 Cases 2018;111:440-8.
10. Sheikh AB, Mendelson ZS, Liu JK. Endoscopic versus microsurgical resection of colloid cysts: a systematic review and meta-analysis of 1,278 patients. World Neurosurg 2014;82:1187-97.
11. Vazhayil V, Sadashiva N, Nayak N, et al. Surgical management of colloid cysts in children: experience at a tertiary care center. Childs Nerv Syst 2018;34:1215- 20.
12. Bilgin E, Cavus G, Acik V, et al. Colloid cyst of the third ventricle: a clinical series of 19-cases, Ann Med Res 2017;24:391-5.