Treatment Options for Third Ventricular Colloid Cysts

Horn, Eric M.; Feiz-Erfan, Iman; Bristol, Ruth E.; Leković, Gregory P.; Goslar, Pamela W.; Smith, Kris A.; Nakaji, Peter; Spetzler, Robert F.

doi:10.1227/01.neu.0000255409.61398.ea

Cited by 110 publications

(33 citation statements)

References 47 publications

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“…The overall complication rate of 20.8% seen in this study is consistent with values reported elsewhere for endoscopic resection (0–25%) [12, 28, 32, 35, 48, 76] and comparable to rates reported for microsurgical interventions (4.3–29.3%) [72, 80–84], although some reports of complications following microsurgical resection approach 70% [5, 11]. The complications seen most commonly in our study were intraventricular hemorrhage (which was frequently minor) and memory disturbance (which was often transient).…”

Section: Discussionsupporting

confidence: 92%

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Neuroendoscopic Resection of Intraventricular Tumors: A Systematic Outcomes Analysis

Barber

Rangel-Castilla

Baskin

2013

Minimally Invasive Surgery

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Introduction. Though traditional microsurgical techniques are the gold standard for intraventricular tumor resection, the morbidity and invasiveness of microsurgical approaches to the ventricular system have galvanized interest in neuroendoscopic resection. We present a systematic review of the literature to provide a better understanding of the virtues and limitations of endoscopic tumor resection. Materials and Methods. 40 articles describing 668 endoscopic tumor resections were selected from the Pubmed database and reviewed. Results. Complete or near-complete resection was achieved in 75.0% of the patients. 9.9% of resected tumors recurred during the follow-up period, and procedure-related complications occurred in 20.8% of the procedures. Tumor size ≤ 2cm (P = 0.00146), the presence of a cystic tumor component (P < 0.0001), and the use of navigation or stereotactic tools during the procedure (P = 0.0003) were each independently associated with a greater likelihood of complete or near-complete tumor resection. Additionally, the complication rate was significantly higher for noncystic masses than for cystic ones (P < 0.0001). Discussion. Neuroendoscopic outcomes for intraventricular tumor resection are significantly better when performed on small, cystic tumors and when neural navigation or stereotaxy is used. Conclusion. Neuroendoscopic resection appears to be a safe and reliable treatment option for patients with intraventricular tumors of a particular morphology.

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Section: Discussionsupporting

confidence: 92%

“…There is, in fact, some evidence that the risk of postoperative colloid cyst recurrence is higher with endoscopic resections compared with microsurgery [48]. Other series, however, have shown recurrence rates to be equivalent between the two [2].…”

Section: Discussionmentioning

confidence: 99%

Neuroendoscopic Resection of Intraventricular Tumors: A Systematic Outcomes Analysis

Barber

Rangel-Castilla

Baskin

2013

Minimally Invasive Surgery

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“…Some studies showed favorable results of endoscopy with small ventricles. 17,39 In this procedure, a seal created about the endoscope, which prevents the emergence of cerebrospinal fluid (CF) and ventricular decline, so CF flows slowly from one of the endoscope ports. This prevents inducing hypertension within the skull.…”

Section: Endoscopymentioning

confidence: 99%

A Review of Microsurgery Versus Endoscopy: Controversies for Treatment of Colloid Cysts

Razzaghi

Yousefi

Alizadeh

2019

Int Clin Neurosci J

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Background: There is controversy about the value of endoscopic methods compared to microsurgical methods in the treatment of challenging colloidal cysts. This study aimed to review the findings of literature which studied microsurgery or neuroendoscopy in the colloid cyst. Methods: An advanced search in PubMed, Science Direct, and Google Scholar databases performed using keywords such as: "microsurgery," "endoscopy," "microsurgery versus endoscopy," and "colloid cysts." Results: Reviewing the findings of related studies showed some differences in sections of surgical management, microsurgery, endoscopy, complete cyst resection, recurrence rate, length of stay, and complications between the two surgical methods in the treatment of colloid cyst. Conclusion: Despite some disadvantages of endoscopy, it seems this method has more privileges than the other methods.

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“…Most recently, in a single-center retrospective review comparing endoscopic resection versus a microsurgical transcallosal approach for third ventricular colloid cysts, EMIN was shown to be a safe and effective alternative [39]. Rates of reoperation were comparable (11% for both groups), as were neurologic outcomes.…”

Section: Ien For Colloid Cyst Resectionmentioning

confidence: 99%

Endoscopic Minimally Invasive Neurosurgery: Emerging Techniques and Expanding Role through an Extensive Review of the Literature and Our Own Experience – Part I: Intraendoscopic Neurosurgery

et al. 2011

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Background/Aims: Minimally invasive neurosurgery is a growing field, more so in recent decades. The modernization of tools, especially the endoscope, has allowed for critical improvements and crucial advancements in minimally invasive neurosurgery. The current classification scheme for endoscopic procedures needs to be updated to reflect these advancements. Methods: Although the field of neuroendoscopy is continually evolving, the terminologies utilized to describe endoscopic procedures reflect and favor its use as mostly an assisting device complementing the microscope. Even though the classification was adequate for its time, it has become inexact and therefore confusing. We therefore propose a new classification scheme that encompasses the growing independence of endoscopic minimally invasive neurosurgery (EMIN) as well as the changing landscape within EMIN procedures. Results: We have classified our EMIN procedures, since 2002, as either ‘intraendoscopic’ (IEN) or ‘extraendoscopic’ (XEN) in relation to the endoscope’s axis. Exemplary cases of IEN and a review of the literature are presented as well. Conclusion: Our proposed classification scheme for solely endoscopic procedures is presented. The role of the endoscope as an independent tool is clarified.

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Treatment Options for Third Ventricular Colloid Cysts

Cited by 110 publications

References 47 publications

Neuroendoscopic Resection of Intraventricular Tumors: A Systematic Outcomes Analysis

Neuroendoscopic Resection of Intraventricular Tumors: A Systematic Outcomes Analysis

A Review of Microsurgery Versus Endoscopy: Controversies for Treatment of Colloid Cysts

Endoscopic Minimally Invasive Neurosurgery: Emerging Techniques and Expanding Role through an Extensive Review of the Literature and Our Own Experience – Part I: Intraendoscopic Neurosurgery

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