Short Communication

Third Ventricle’s Colloid Cysts Removal by the Endoscope

Behzad Saberi*

Medical Research, Iran

Submission: December 12, 2019; Published: January 07, 2020

*Corresponding author:Behzad Saberi, Medical Research, Esfahan, Iran

How to cite this article:Behzad Saberi. Third Ventricle’s Colloid Cysts Removal by the Endoscope. Open Access J Surg. 2020; 11(2): 555809. DOI: 10.19080/OAJS.2020.11.555809.

Keywords:Third ventricle; Colloid cyst; Surgical approach

Short Communication

Third ventricle’s colloid cysts are usually arising from the third ventricle’s roof. Occlusion of the Monro’s foramen, hydrocephalus, headache, disturbances in the memory functions and sudden death can be caused by such non-neoplastic masses. Colloid cysts removal by the endoscope, stereotactic drainage, ventricles shunting, transcallosal and transcortical craniotomy can be used as the treatment options for such cysts. Usually removing the cysts by the endoscope is recommended because of the higher morbidity rates of the microsurgical removal and the recurrence or even failure to treat risks of using stereotactic drainage method [1-3].

The surgical approach for the colloid cysts is performing through one burr hole. It would be located behind the nasion at a distance about eight centimetres and at the most lateral position. It is important to do not transit the caudate head during surgical approach, which in most of the cases is located at a distance about four to six centimetres from the midline. Initial entrance to the ventricle is better to be done by the image guidance. It is important to take enough care to not causing trauma or damage to the fornix while coagulating the choroid plexus [4,5].

By opening the cyst’s face, its content would be suctioned or be removed with the forceps. Then the cyst’s wall would be dissected until it can be free from the ventricle’s roof. Since the colloid cysts which their sizes are more than two centimetres have this tendency to be much more adhered to the fornix and in case of selecting such surgical approaches to remove the cysts, the fornix would be stretched and can be easily broken apart, it is better for such larger cysts to be removed by using microsurgical approaches [6].

References

1. Desai KI, Nadkarni TD, Muzumdar DP, Goel AH (2002) Surgical management of colloid cyst of the third ventricle-A study of 105 cases. Surg Neurol 57: 295-304.
2. Horn EM, Feiz Erfan I, Bristol RE, Lekovic GP, Goslar PW, Smith KA, et al. (2007) Treatment options for third ventricular colloid cysts: comparison of open microsurgical versus endoscopic resection. Neurosurgery 60: 613-618.
3. Wilson DA, Fusco DJ, Wait SD, Nakaji P (2012) Endoscopic resection of colloid cysts: use of a dual-instrument technique and an anterolateral approach. World Neurosurg 80: 576-583.
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6. Bristol RE, Nakaji P, Smith KA (2005) Endoscopic management of colloid cysts. Oper Tech Neurosurg 8: 176-178.