Colloid cyst headache

Abstract

Colloid cysts of the third ventricle are rare intracranial tumors, accounting for 0.5% of intracranial tumors. Colloid cysts represent 2% of gliomas, are more common in men than women, and usually are diagnosed between the third and fifth decades of life. The primary presenting complaint of this disorder is headache. The headaches are described as intermittent, severe and intense, and of short duration and usually are located frontally. The main associated features are nausea and vomiting. The headache can be relieved by lying down, which is unusual for headaches secondary to intracranial tumors. Colloid cysts of the third ventricle are diagnosed by computed tomography or magnetic resonance imaging and treatment is surgical. This rare type of headache disorder is significant because it is associated with sudden death. Recognition of the unusual features of colloid cyst headache may result in decreased mortality in this disorder.

Colloid Cyst

“…12,13,14 Colloid cyst produces non localizing symptoms with increase in the intracranial pressures such as visual disturbance, vomiting, gait ataxia and paroxysmal headaches associated with change in head position. 1,4,5,6,7,8 N= 2 patients in our study had normal pressure hydrocephalus, which shows rapid neurological deterioration after a lumbar puncture and may even lead to death, hence early detection and treatment of colloid cysts is important in such patients. All the patients who were admitted in a comatose state had large colloid cysts, and expired eventually.…”

“…They might have a benign course and resolve spontaneously, or may lead to fatal complications associated with rapid neurological deterioration and sudden death, so early diagnosis and treatment is of prime importance. 1,4,5,6,7,8 The various surgical options available include invasive and minimally invasive techniques such as transcortical and transcallosal approach and stereotactic aspiration and endoscopic excision respectively. In this study we present the outcome of surgical management of colloid cyst at our setup based on the experience of ten years.…”

Colloıd Cyst Presentıng Wıth Acute Hydrocephalus In An Adult Patıent: Case Report and Review Of Lıterature.

“…CC are mostly presented between the 3 rd and 5 th decades with no difference between genders (8). The most common presenting symptom is frontal headache which is short and intermittent and accompanied by nausea (9). The clinical presentation of CC may be limited to headache or may be asymptomatic, or may be accompanied by a number of conditions including confusion, coma, seizure, ataxia and blurring of vision (10).…”

Sudden death due to intracranial colloid cyst: About three cases

“…The most common clinical symptom is an episodic headache, which may result from an intermittent obstruction of cerebrospinal fluid (CSF) flow through the foramina of Monro leading to a prompt increase in intracranial pressure (Spears, 2004). This symptom is usually accompanied by vomiting, visual disorders (diplopia, visual eclipses), flinch of the lower limbs, decreased tone for 5 to 15 min without consciousness troubles, vasomotor, thermal or fluctuating mental disorders (Roger et al, 2011).…”

“…The obstruction of the foramen of Monro is the origin of acute obstructive hydrocephalus that leads to death, as it was the case in the second and the third observation. Nevertheless, the risk of sudden death is not proportional to the size of the cyst and the signs of hydrocephalus are not constant (Spears, 2004).…”