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Endoscopic colloid cyst excision: surgical techniques and nuances

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Abstract

Background

Endoscopic excision of colloid cysts is currently well established as a minimally invasive and highly effective technique that is associated with less morbidity in comparison to microsurgical resection.

Methods

Operative charts and videos of patients undergoing endoscopic colloid cyst excision were retrieved from the senior author’s database of endoscopic procedures and reviewed. This revealed nine trans-foraminal and three trans-septal procedures. Description of the surgical techniques was then formulated.

Conclusions

Variation of the technique is based on the specific patho-anatomical features of the colloid cyst being resected. For the trans-foraminal approach, we think that the rotational technique is associated with a more complete removal of the cyst wall and consequently lower recurrence rate.

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Abbreviations

ICP:

Intracranial pressure

EVD:

External ventricular drain

MRI:

Magnetic resonance imaging

References

  1. Azab WA, Salaheddin W, Alsheikh TM, Nasim K, Nasr MM (2014) Colloid cysts posterior and anterior to the foramen of Monro: anatomical features and implications for endoscopic excision. Surg Neurol Int 5:124

    Article  PubMed  PubMed Central  Google Scholar 

  2. Boogaarts H, El-Kheshin S, Grotenhuis J (2011) Endoscopic colloid cyst resection: technical note. Minim Invasive Neurosurg 54(2):95–97

    Article  CAS  PubMed  Google Scholar 

  3. Greenlee JD, Teo C, Ghahreman A, Kwok B (2008) Purely endoscopic resection of colloid cysts. Neurosurgery 62(3 Suppl 1):51–56

    PubMed  Google Scholar 

  4. Griffiths PD, Batty R, Reeves MJ, Connolly DJ (2009) Imaging the corpus callosum, septum pellucidum and fornix in children: normal anatomy and variations of normality. Neuroradiology 51:337–345

    Article  PubMed  Google Scholar 

  5. Iacoangeli M, di Somma LG, Di Rienzo A, Alvaro L, Nasi D, Scerrati M (2014) Combined endoscopic transforaminal-transchoroidal approach for the treatment of third ventricle colloid cysts. J Neurosurg 120(6):1471–1476

    Article  PubMed  Google Scholar 

  6. Ibáñez-Botella G, Domínguez M, Ros B, De Miguel L, Márquez B, Arráez MA (2014) Endoscopic transchoroidal and transforaminal approaches for resection of third ventricular colloid cysts. Neurosurg Rev 37(2):227–234

    Article  PubMed  Google Scholar 

  7. Margetis K, Christos PJ, Souweidane M (2014) Endoscopic resection of incidental colloid cysts. J Neurosurg 120(6):1259–1267

    Article  PubMed  Google Scholar 

  8. Rhoton AL (2002) The lateral and third ventricle. Neurosurgery 51:S207–S271

    PubMed  Google Scholar 

  9. Souweidane MM (2005) Endoscopic surgery for intraventricular brain tumors in patients without hydrocephalus. Neurosurgery 57(4 Suppl):312–318

    PubMed  Google Scholar 

  10. Souweidane MM, Hoffman CE, Schwartz TH (2008) Transcavum interforniceal endoscopic surgery of the third ventricle. J Neurosurg Pediatr 2(4):231–236

    Article  PubMed  Google Scholar 

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Correspondence to Waleed Abdelfattah Azab.

Electronic supplementary material

Surgical technique of the endoscopic trans-foraminal and trans-septal approaches for colloid cyst excision. (WMV 146311 kb)

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Azab, W.A., Najibullah, M. & Yosef, W. Endoscopic colloid cyst excision: surgical techniques and nuances. Acta Neurochir 159, 1053–1058 (2017). https://doi.org/10.1007/s00701-017-3176-2

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  • DOI: https://doi.org/10.1007/s00701-017-3176-2

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