Early recurrence from stereotactic aspiration ofa colloid cyst of the third ventricle

Skirving, David J.; Pell, Malcolm

doi:10.1054/jocn.2000.0847

Cited by 9 publications

(4 citation statements)

References 6 publications

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“…Early reports showed promising results, but the rate of residual and recurrent cysts was unacceptably high in subsequent studies (22,31,38,41,42,48). Although two studies identified imaging factors that helped predict success with this technique, it has now largely been replaced by endoscopy (18,31).…”

Section: Alternative Treatmentsmentioning

confidence: 99%

Treatment Options for Third Ventricular Colloid Cysts

et al. 2007

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Section: Alternative Treatmentsmentioning

confidence: 99%

Treatment Options for Third Ventricular Colloid Cysts

et al. 2007

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“…2,[20][21][22][23][24][25][26][27][28] More recently, some authors have reported less invasive microsurgical techniques with endoscopic assistance, 22 neuronavigation 29 and approaches through cylindrical retractors using stereotactic frames. 30,31 Although potentially less invasive, stereotactic aspiration is associated with recurrence rates of 30-80% [32][33][34] with recurrences occurring as early as two months in half of these. 33 Endoscopic resection of third ventricle colloid cysts was first described in 1982.…”

mentioning

confidence: 99%

Endoscopic Versus Microsurgical Resection of Third Ventricle Colloid Cysts

Grondin

Hader

MacRae

et al. 2007

Can. j. neurol. sci.

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Colloid cysts of the third ventricle represent about 0.5-2 percent of intracranial tumors.1,2 Although uncommon, they are an important clinical entity because of their ability to cause cerebrospinal fluid (CSF) obstruction and sudden death. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] In one population-based study, one third of patients with symptomatic colloid cysts presented with acute neurological deterioration, underscoring the need for their treatment. There has been some debate over the optimal management of colloid cysts over the past few decades. Management options include CSF diversion procedures (e.g. ventriculo-peritoneal ABSTRACT: Objective: Endoscopic resection of colloid cysts has been performed as an alternative to microsurgical resection and stereotactic aspiration since 1982. To date, there are limited published studies comparing these procedures. In this study, we present the largest series of endoscopic resections published to date and compare outcomes to a cohort of microsurgical resections performed at the same institution. Methods: A retrospective chart review was conducted for all patients in the Calgary Health Region undergoing resection of a colloid cyst between 1991 and 2004. Comparison was made between patients treated with endoscopic resection versus microsurgical resection. Results: Twenty-five endoscopic and nine microsurgical procedures were performed. Complete resection was achieved in 24 of 25 procedures in the Endoscopic group, compared with all 9 procedures in the Microsurgical group. Patients in the Endoscopic group had a reduced operative time (mean 104 minutes versus 217 minutes) and reduced length of stay (3.8 days versus 8.4 days) compared to the Microsurgical group. One patient in the Endoscopic group had a complication (hemiparesis/pulmonary embolus). By contrast, 3 patients in the Microsurgical group had complications (seizure, ventriculitis/bone flap infection, and transient memory deficit). There was one recurrence in each group which both occurred at 5 years follow-up. The mean length of follow-up is 38 months in the Endoscopic group and 33 months in the Microsurgical group. Conclusion: Endoscopic resection of colloid cysts can be performed with significantly lower risk of complication than microsurgical resection and with equivalent surgical success. Operative time and length of hospital stay are both significantly reduced with endoscopic resection. RÉSUMÉ: Résection endoscopique versus microchirurgicale des kystes colloïdes du troisième ventricule.Objectif : La résection endoscopique des kystes colloïdes comme alternative à la résection microchirurgicale et à l'aspiration stéréotaxique est réalisée depuis 1982. À ce jour, peu d'études comparant ces interventions ont été publiées. Dans cette étude, nous présentons la plus grande série de résections endoscopiques publiée à ce jour et nous comparons les résultats à ceux d'une cohorte de patients ayant subi une résection microchirurgicale dans la même institution. Méthodes : Nous avons procédé à une ré...

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“…Bosch et al [7] in 1978 performed CT-guided stereotactic cyst aspiration for colloid cysts of the third ventricle. After this pioneering work some small series have been reported [27,46,50,52,56,67]. Hall and Lunsford [27] stated that stereotactic cyst aspiration should be the first choice in colloid cyst treatment.…”

Section: Discussionmentioning

confidence: 99%