%0 Journal Article
%T Our policy in intraventricular colloid cysts. Experience of 31 operated cases.
%A A.V. Ciurea
%A F.M. Brehar
%A Al. Tascu
%A A. Iliescu
%J Romanian Neurosurgery
%D 2011
%I Romanian Society of Neurosurgery
%X The colloid cyst of the third ventricle is abenign tumor situated in the anterior partof the third ventricle. This lesion representsless than 1% of the primary brain tumorbeing more common in young adults.Because of its particular location, thecolloid cyst can obstruct the Monroforamen, producing intermittentintracranian hypertension with headache,vomiting and visual disturbances. Thirtyonecases of colloid cysts have beenoperated using the microsurgical approachin the First Neurosurgical Department ofEmergency Clinical Hospital ˇ°Bagdasar-Arseniˇ± between January 1995 andDecember 2008. The age of the patientswas between 17 and 46 years, with amedium age of 31 years. The follow-upperiod was between 9 months and 7 years.In three cases TTA approach has beenperformed. One of the cases developed avenous cerebral infarct after this procedure,but the patient had finally a good outcome.For 28 patients the transcortical approachhas been performed. In all cases the totalresection of the colloid cyst has beenperformed. Of all 31 cases, one casepresented a transitory hemiparesis, twocases showed negativist behavior, and threecases had transitory memory disturbances.There was no intraventricular hemorrhageafter colloid cyst resection in our series. Inconclusion, according to our policy, themicrosurgical approach is the besttreatment for third ventricular colloid cystsbecause of its main advantages comparedwith the endoscopic approach: thepossibility of total resection of the cyst, thegood control of the bleeding source duringthe procedure, and a better exposure of theanatomical landmarks.
%K colloid cyst
%K obstructive hydrocephalus
%K microsurgical approach
%K neuro-endoscopy
%U http://www.roneurosurgery.eu/atdoc/7CiureaAVOurPolicy.pdf