Acta Neurochirurgica

, Volume 159, Issue 6, pp 1053–1058

Endoscopic colloid cyst excision: surgical techniques and nuances

  • Waleed Abdelfattah Azab
  • Mustafa Najibullah
  • Waleed Yosef
How I Do it - Neurosurgical Techniques



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.


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.


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.


Colloid cyst Endoscopic Septum pellucidum Third ventricle Trans-foraminal Trans-septal 



Intracranial pressure


External ventricular drain


Magnetic resonance imaging

Supplementary material


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


  1. 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 5:124CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Boogaarts H, El-Kheshin S, Grotenhuis J (2011) Endoscopic colloid cyst resection: technical note. Minim Invasive Neurosurg 54(2):95–97CrossRefPubMedGoogle Scholar
  3. 3.
    Greenlee JD, Teo C, Ghahreman A, Kwok B (2008) Purely endoscopic resection of colloid cysts. Neurosurgery 62(3 Suppl 1):51–56PubMedGoogle Scholar
  4. 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 51:337–345CrossRefPubMedGoogle Scholar
  5. 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):1471–1476CrossRefPubMedGoogle Scholar
  6. 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):227–234CrossRefPubMedGoogle Scholar
  7. 7.
    Margetis K, Christos PJ, Souweidane M (2014) Endoscopic resection of incidental colloid cysts. J Neurosurg 120(6):1259–1267CrossRefPubMedGoogle Scholar
  8. 8.
    Rhoton AL (2002) The lateral and third ventricle. Neurosurgery 51:S207–S271PubMedGoogle Scholar
  9. 9.
    Souweidane MM (2005) Endoscopic surgery for intraventricular brain tumors in patients without hydrocephalus. Neurosurgery 57(4 Suppl):312–318PubMedGoogle Scholar
  10. 10.
    Souweidane MM, Hoffman CE, Schwartz TH (2008) Transcavum interforniceal endoscopic surgery of the third ventricle. J Neurosurg Pediatr 2(4):231–236CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Wien 2017

Authors and Affiliations

  • Waleed Abdelfattah Azab
    • 1
  • Mustafa Najibullah
    • 1
  • Waleed Yosef
    • 1
  1. 1.Department of NeurosurgeryIbn Sina HospitalSafatKuwait

Personalised recommendations