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Endoscopic and Keyhole Cranial Base Surgery pp 341–361Cite as

22 Colloid Cysts

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Abstract

Colloid cysts represent about 1% of intracranial tumors and about 15% of intraventricular tumors. The first surgical treatment of a colloid cyst was performed by Dandy in 1920, and since then, many studies have addressed the surgical treatment of this pathology. Open surgical approaches, discussed in 22.2, for intraventricular colloid cysts, are still regarded as the gold standard because they ensure complete resection and a low recurrence rate. The two most commonly used ventricular approaches used for excision include the transcortical and interhemispheric transcallosal approach. The transcortical approach is easy and straightforward, however, requires cortical division with a risk of seizure. The interhemispheric approach is recently favored because of its less invasive nature; however, it is complex with a risk of cortical venous infarction. Most of the lesions are amenable for complete excision through a dilated foramen of Monro. In difficult or large lesions, the third ventricle can be opened through a multitude of approaches that include the transforaminal, interfornicial, or subchoroidal routes. A complete excision ensures long-term cure, and the main goal of surgery is the avoidance of surgical complications. In recent years, the microsurgical approach has been considered the standard gold. Nevertheless, in the last two decades, many authors have reported the advantages of a transventricular endoscopic approach, discussed in 22.3, which include less invasiveness, less risk of seizures, as well as shorter operating time and hospitalization. In addition, with the advancement of endoscopic equipment and the learning curve of endoscopic techniques, high degree of complete resection with low recurrence rates is being reported.

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References (Key References Bolded)

  1. Desai KI, et al. Surgical management of colloid cyst of the third ventricle–a study of 105 cases. Surg Neurol. 2002;57(5):295–302; discussion 302–4

    Article  PubMed  Google Scholar 

  2. Brostigen CS, et al. Surgical management of colloid cyst of the third ventricle. Acta Neurol Scand. 2017;135(4):484–7.

    Article  CAS  PubMed  Google Scholar 

  3. Dandy W. Diagnosis, localization and removal of tumors of the third ventricle. Bull Johns Hopkins Hosp. 1922;33:188–9.

    Google Scholar 

  4. Boogaarts HD, Decq P, Grotenhuis JA, et al. Long-term results of the neuroendoscopic management of colloid cysts of the third ventricle: a series of 90 cases. Neurosurgery. 2011;68(1):179–87.

    Article  PubMed  Google Scholar 

  5. Greenlee JD, Teo C, Ghahreman A, Kwok B. Purely endoscopic resection of colloid cysts. Neurosurgery. 2008;62(3 Suppl 1):51–5; discussion 55–56.

    Google Scholar 

  6. Horn EM, Feiz-Erfan I, Bristol RE, et al. Treatment options for third ventricular colloid cysts: comparison of open microsurgical versus endoscopic resection. Neurosurgery. 2007;60(4):613–8; discussion 618–620.

    Google Scholar 

  7. Margetis K, Souweidane MM. Endoscopic treatment of intraventricular cystic tumors. World Neurosurg. 2013;79(2 Suppl):S19. e1–e11.

    Article  Google Scholar 

  8. Apuzzo M, Litofsky NS. Brain surgery: complication avoidance and management. Vol 1. 1st ed. New York: Churchill Livingstone Inc; 1993.

    Google Scholar 

  9. Shucart W. Anterior transcallosal and transcortical approaches. In: Apuzzo M, editor. Surgery of the third ventricle. Baltimore: Williams & Wilkins; 1987.

    Google Scholar 

  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(6):1187–97.

    Google Scholar 

  11. Desai KI, Nadkarni TD, Muzumdar DP, Goel AH. Surgical management of colloid cyst of the third ventricle – a study of 105 cases. Surg Neurol. 2002;57(5):295–302; discussion 302–294.

    Google Scholar 

  12. Shapiro S, Rodgers R, Shah M, Fulkerson D, Campbell RL. Interhemispheric transcallosal subchoroidal fornix-sparing craniotomy for total resection of colloid cysts of the third ventricle. J Neurosurg. 2009;110(1):112–5.

    Article  PubMed  Google Scholar 

  13. Sampath R, Vannemreddy P, Nanda A. Microsurgical excision of colloid cyst with favorable cognitive outcomes and short operative time and hospital stay: operative techniques and analyses of outcomes with review of previous studies. Neurosurgery. 2010;66(2):368–74; discussion 374–365.

    Google Scholar 

  14. Symss NP, Ramamurthi R, Rao SM, Vasudevan MC, Jain PK, Pande A. Management outcome of the transcallosal, transforaminal approach to colloid cysts of the anterior third ventricle: an analysis of 78 cases. Neurol India. 2011;59(4):542–7.

    Article  PubMed  Google Scholar 

  15. Villani R, Papagno C, Tomei G, Grimoldi N, Spagnoli D, Bello L. Transcallosal approach to tumors of the third ventricle. Surgical results and neuropsychological evaluation. J Neurosurg Sci. 1997;41(1):41–50.

    CAS  PubMed  Google Scholar 

  16. Winston KR, Cavazzuti V, Arkins T. Absence of neurological and behavioral abnormalities after anterior transcallosal operation for third ventricular lesions. Neurosurgery. 1979;4(5):386–93.

    Article  CAS  PubMed  Google Scholar 

  17. Yenermen MH, Bowerman CI, Haymaker W. Colloid cyst of the third ventricle; a clinical study of 54 cases in the light of previous publications. Acta Neuroveg (Wien). 1958;17(3–4):211–77.

    Article  CAS  Google Scholar 

  18. Jeeves MA, Simpson DA, Geffen G. Functional consequences of the transcallosal removal of intraventricular tumours. J Neurol Neurosurg Psychiatry. 1979;42(2):134–42.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Ehni G. Interhemispheric and percallosal (transcallosal) approach to the cingulate gyri, intraventricular shunt tubes, and certain deeply placed brain lesions. Neurosurgery. 1984;14(1):99–110.

    Article  CAS  PubMed  Google Scholar 

  20. Isherwood I, Pullan BR, Rutherford RA, Strang FA. Electron density and atomic number determination by computed tomography. Part I: methods and limitations. Part II: a study of colloid cysts. Br J Radiol. 1977;50(597):613–9.

    Article  CAS  PubMed  Google Scholar 

  21. Hodges JR, Carpenter K. Anterograde amnesia with fornix damage following removal of IIIrd ventricle colloid cyst. J Neurol Neurosurg Psychiatry. 1991;54(7):633–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Sweet WH, Talland GA, Ervin FR. Loss of recent memory following section of fornix. Trans Am Neurol Assoc. 1959;84:76–82.

    CAS  PubMed  Google Scholar 

  23. Carmel PW. Surgical syndromes of the hypothalamus. Clin Neurosurg. 1980;27:133–59.

    Article  CAS  PubMed  Google Scholar 

  24. Damasio A, Van Hoesen G. Pathological correlates of amnesia and the anatomical basis of memory. Baltimore: Williams & Wilkins; 1987.

    Google Scholar 

  25. Little JR, MacCarty CS. Colloid cysts of the third ventricle. J Neurosurg. 1974;40(2):230–5.

    Article  CAS  PubMed  Google Scholar 

  26. Greenwood J Jr. Paraphysial cysts of the third ventricle; with report of eight cases. J Neurosurg. 1949;6(2):153–9.

    Article  PubMed  Google Scholar 

  27. Apuzzo ML. Surgery of masses affecting the third ventricular chamber: techniques and strategies. Clin Neurosurg. 1988;34:499–522.

    CAS  PubMed  Google Scholar 

  28. Apuzzo ML, Chikovani OK, Gott PS, et al. Transcallosal, interfornicial approaches for lesions affecting the third ventricle: surgical considerations and consequences. Neurosurgery. 1982;10(5):547–54.

    Google Scholar 

  29. Ehni G, Ehni B. Consideration in Transforaminal entry. In: Apuzzo M, editor. Surgery of the Third Ventricle. Baltimore: Williams & Wilkins; 1987.

    Google Scholar 

  30. Jia W, Ma Z, Liu IY, Zhang Y, Jia G, Wan W. Transcallosal interforniceal approach to pineal region tumors in 150 children. J Neurosurg Pediatr. 2011;7(1):98–103.

    Article  PubMed  Google Scholar 

  31. Lavyne M, Patterson R. Subchoroidal trans-velum interpositum approach. In: Apuzzo M, editor. Surgery of the third ventricle. Baltimore: Williams & Wilkins; 1987.

    Google Scholar 

  32. McKissock W. The surgical treatment of the colloid cyst of the third ventricle. Brain. 1951;74(1):1–9.

    Article  CAS  PubMed  Google Scholar 

  33. Lavyne MH, Patterson RH Jr. Subchoroidal trans-velum interpositum approach to mid-third ventricular tumors. Neurosurgery. 1983;12(1):86–94.

    Article  CAS  PubMed  Google Scholar 

  34. Powell MP, Torrens MJ, Thomson JL, Horgan JG. Isodense colloid cysts of the third ventricle: a diagnostic and therapeutic problem resolved by ventriculoscopy. Neurosurgery. 1983;13(3):234–7.

    Article  CAS  PubMed  Google Scholar 

  35. Jeffree RL, Besser M. Colloid cyst of the third ventricle: a clinical review of 39 cases. J Clin Neurosci. 2001;8(4):328–31.

    Article  CAS  PubMed  Google Scholar 

  36. Mathiesen T, Grane P, Lindgren L, Lindquist C. Third ventricle colloid cysts: a consecutive 12-year series. J Neurosurg. 1997;86(1):5–12.

    Article  CAS  PubMed  Google Scholar 

  37. Stachura K, Libionka W, Moskala M, Krupa M, Polak J. Colloid cysts of the third ventricle. Endoscopic and open microsurgical management. Neurol Neurochir Pol. 2009;43(3):251–7.

    PubMed  Google Scholar 

  38. Hernesniemi J, Romani R, Dashti R, et al. Microsurgical treatment of third ventricular colloid cysts by interhemispheric far lateral transcallosal approach – experience of 134 patients. Surg Neurol. 2008;69(5):447–53; discussion 453–446.

    Google Scholar 

  39. Boogaarts HD, Decq P, Grotenhuis JA, Guérinel CL, Nseir R, Jarraya B, et al. Long-term results of the neuroendoscopic management of colloid cysts of the third ventricle: a series of 90 cases. Neurosurgery. 2011;68(1):179–87.

    Google Scholar 

  40. Chibbaro S, Champeaux C, Poczos P, Cardarelli M, Di Rocco F, Iaccarino C, et al. Anterior trans-frontal endoscopic management of colloid cyst: an effective, safe, and elegant way of treatment. Case series and technical note from a multicenter prospective study. Neurosurg Rev. 2014;37:235–41.

    Google Scholar 

  41. Dandy WE. Benign tumors in the third ventricle of the brain: diagnosis and treatment. Springfield, MO: Williams and Wilkins; 1933.

    Google Scholar 

  42. Rhoton AL. The lateral and third ventricles. Neurosurgery. 2002;51(4 Suppl):207–71.

    Google Scholar 

  43. Ibáñez-Botella G, Domínguez M, Ros B, De Miguel L, Márquez B, Arráez MA. Endoscopic transchoroidal and transforaminal approaches for resection of third ventricular colloid cysts. Neurosurg Rev. 2014;37:227–34.

    Google Scholar 

  44. Rangel-Castilla L, Chen F, Choi L, Clark JC, Nakaji P. Endoscopic approach to colloid cyst: what is the optimal entry point and trajectory? J Neurosurg. 2014;121:790–6.

    Google Scholar 

  45. Delitala A, Brunori A, Russo N. Supraorbital endoscopic approach to colloid cysts. Neurosurgery. 2011;69(2 Suppl Operative):ons176–83.

    PubMed  Google Scholar 

  46. Lacoangeli M, Di Somma LGM, Di Rienzo A, Alvaro L, Nasi D, Scerrati M. Combined endoscopic transforaminal-transchoroidal approach for the treatment of third ventricle colloid cysts. J Neurosurg. 2014;120:1471–6.

    Google Scholar 

  47. Humphries RL, Stone CK, Bowers RC. Colloid cyst: a case report and literature review of a rare but deadly condition. J Emerg Med. 2011;40(1):e5–9.

    Article  PubMed  Google Scholar 

  48. Pinto FCG, Chavantes MC, Fonoff ET, Teixeira MJ. Treatment of colloid cysts of the third ventricle through neuroendoscopic Nd:YAG laser stereotaxis. Arq Neuropsiquiatr. 2009;67(4):1082–7.

    Article  PubMed  Google Scholar 

  49. Yadav YR, Yadav N, Par Ihar V, Kher Y, Ratre S. Management of colloid cyst of third ventricle. Turk Neurosurg. 2015;25(3):362–71.

    PubMed  Google Scholar 

  50. Kumar V, Behari S, Singh RK, Jain M, Jaiswal AK, Jain VK. Pediatric colloid cysts of the third ventricle: management considerations. Acta Neurochir. 2010;152(3):451–61.

    Article  PubMed  Google Scholar 

  51. Margetis K, Christos PJ, Souweidane M. Endoscopic resection of incidental colloid cysts. J Neurosurg. 2014;120:1259–67.

    Article  PubMed  Google Scholar 

  52. Goyal N, Sharma BS, Mahapatra A. Third ventricular colloid cysts in children-a series of eight cases and review of the literature. Turk Neurosurg. 2014;24(1):1–7.

    PubMed  Google Scholar 

  53. Ajlan AM, Kalani MA, Harsh GR. Endoscopic transtubular resection of a colloid cyst. Neurosciences (Riyadh). 2014;19(1):43–6.

    Google Scholar 

  54. Hellwig D, Bauer BL, Schulte M, Gatscher S, Riegel T, Bertalanffy H. Neuroendoscopic treatment for colloid cysts of the third ventricle: the experience of a decade. Neurosurgery. 2003;52(3):525–33.

    Article  PubMed  Google Scholar 

  55. Hoffman CE, Savage NJ, Souweidane MM. The significance of cyst remnants after endoscopic colloid cyst resection: a retrospective clinical case series. Neurosurgery. 2013;73(2):233–7.

    Article  PubMed  Google Scholar 

  56. Cohen-Gadol AA. Minitubular transcortical microsurgical approach for gross total resection of third ventricular colloid cysts: technique and assessment. World Neurosurg. 2013;79(1):207.e7–10.

    Article  Google Scholar 

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Author notes

  1. *Invited senior authors. See chapter subsection for complete list of authors.

Authors and Affiliations

  1. Department of Neurosurgery, Louisiana State Health Sciences Center—Shreveport, Shreveport, LA, USA

    Anil Nanda

  2. Division of Pediatric Neurosurgery, Department of Neurosurgery, St. Louis University School of Medicine, St. Louis, MO, USA

    Samer K. Elbabaa

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  1. Anil Nanda
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  2. Samer K. Elbabaa
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Correspondence to Anil Nanda .

Editor information

Editors and Affiliations

  1. Cranial Base and Pituitary Surgery Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA

    James J. Evans

  2. Pituitary and Cranial Base Surgery, Department of Neurosurgery, Albany Medical Center, Albany, NY, USA

    Tyler J. Kenning

  3. Cranial Base and Pituitary Surgery Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA

    Christopher Farrell

  4. Skull Base, Pituitary and Cerebrovascular Surgery Department of Neurosurgery, Cleveland Clinic, Cleveland, OH, USA

    Varun R. Kshettry

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Nanda, A., Elbabaa, S.K. (2019). 22 Colloid Cysts. In: Evans, J., Kenning, T., Farrell, C., Kshettry, V. (eds) Endoscopic and Keyhole Cranial Base Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-64379-3_22

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  • DOI: https://doi.org/10.1007/978-3-319-64379-3_22

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