Advertisement

Endoscopic colloid cyst excision: surgical techniques and nuances

  • 497 Accesses

  • 4 Citations

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.

This is a preview of subscription content, log in to check access.

Access options

Buy single article

Instant unlimited access to the full article PDF.

US$ 39.95

Price includes VAT for USA

Subscribe to journal

Immediate online access to all issues from 2019. Subscription will auto renew annually.

US$ 199

This is the net price. Taxes to be calculated in checkout.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Abbreviations

ICP:

Intracranial pressure

EVD:

External ventricular drain

MRI:

Magnetic resonance imaging

References

  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 5:124

  2. 2.

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

  3. 3.

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

  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 51:337–345

  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):1471–1476

  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):227–234

  7. 7.

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

  8. 8.

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

  9. 9.

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

  10. 10.

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

Download references

Author information

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)

ESM 1

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

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

Keywords

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