DOCSLIB.ORG

Endoscopic Technique in the Treatment of Patients with Colloid Cysts of the Third Ventricle

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Endoscopic Technique in the Treatment of Patients with Colloid Cysts of the Third Ventricle ORIGINAL PAPER/ARTYKU£ ORYGINALNY Endoscopic technique in the treatment of patients with colloid cysts of the third ventricle. Report based on over a decade of experience Technika endoskopowa w leczeniu pacjentów z torbiel¹ koloidow¹ komory III mózgu. Raport na podstawie ponaddziesiêcioletniego doœwiadczenia Stanis³aw Kwiek1, Damian Kocur1, Hanna Dole¿ych1, Krzysztof Suszyñski1,2, Sebastian Szajkowski1, Ryszard Sordyl1, Wojciech Œlusarczyk1,3, Wojciech Kukier1, Piotr Ba¿owski1 1Department of Neurosurgery, Medical University of Silesia, Katowice 2Department of Neurology, Medical University of Silesia, Katowice 3Department of Physiology, Medical University of Silesia, Katowice Neurologia i Neurochirurgia Polska 2012; 46, 3: 216-223 DOI: 10.5114/ninp.2012.29129 A bstr act Streszczenie Background and purpose: The aim of the work was a retro- Wstêp i cel pracy: Celem pracy by³a retrospektywna analiza spective analysis of the efficiency of endoscopic treatment of skutecznoœci operacyjnego leczenia pacjentów z torbiel¹ koloi - patients with colloid cysts of the third ventricle. dow¹ komory III mózgu z zastosowaniem techniki endosko- Material and methods: The analysis covered 17 patients. There powej. were 19 operations in total. The follow-up period ranged from Materia³ i metody: Analizie poddano 17 chorych z torbiel¹ 21 to 130 months. The effectiveness of the method was evalu- koloidow¹ komory III mózgu operowanych metod¹ endosko- ated by comparing neurological condition and magnetic reso- pow¹, u których wykonano ³¹cznie 19 zabiegów. Czas obser- nance imaging (MRI) before and after treatment. wacji chorych wynosi³ 21–130 miesiêcy. Skutecznoœæ metody Results: The mean duration of surgery was 81 minutes. oceniano, porównuj¹c stan neurologiczny i obraz radiologicz- The cyst was removed completely in 8 patients, subtotally ny mózgowia przed zabiegiem i po zabiegu. in 5, partially in 3, and in 1 case a biopsy was performed. No Wyniki: Œredni czas operacji wynosi³ 81 min. Torbiel usuniêto persistent intra- or postoperative complications or deaths ca³kowicie u 8, prawie ca³kowicie u 5, a czêœciowo u 3 pacjen- occurred. Immediately after the operation symptoms with- tów. W jednym przypadku wykonano biopsjê. Nie odnotowa- drew completely in 8 patients and partially in 9. In the long no zgonów oko³ooperacyjnych ani trwa³ych powik³añ. Bezpo- term follow-up pe riod, all symptoms receded completely in œrednio po operacji ust¹pienie wszystkich objawów choroby 11 pa tients and afurther 6 patients showed partial improve- stwierdzono u 8, a czêœciow¹ poprawê u 9 osób. W odleg³ym ment. MRI revealed the absence of the cyst in 8 patients, in okresie u 11 pacjentów ust¹pi³y wszystkie objawy kliniczne, 2 patients the tumor was smaller in size and in a further 7 pa - a u 6 nast¹pi³a czêœciowa poprawa. W badaniu za pomoc¹ rezo- tients some small parts of the walls of the cyst were present. nansu magnetycznego brak torbieli wykazano u 8 chorych, The width of the ventricle system returned to its normal size u 2 stwierdzono guz o mniejszych rozmiarach, a u 7 resztkow¹ in 8 patients, decreased in 8 patients and in 1 case remained at œcianê torbieli. Szerokoœæ uk³adu komorowego powróci³a do its initial size. In 2 pa tients temporary postoperative complica- normy u 8 pacjentów, zmniejszy³a siê u 8 osób, a pozosta³a tions occurred. The average hospitalization time was 9 days. w stanie wyjœciowym w 1 przypadku. U 2 pacjentów w okre- Correspondence address: Stanis³aw Kwiek, Klinika Neurochirurgii SP CSK ŒUM, ul. Medyków 14, 40-752 Katowice, phone/fax +48 32 789 45 02, e-mail: [email protected] Received: 3.04.2011; accepted: 25.01.2012 216 Neurologia i Neurochirurgia Polska 2012; 46, 3 Endoscopic removal of colloid cysts Conclusions: Recurrences of colloidal cysts after subtotal and sie bezpoœrednim wyst¹pi³y przejœciowe powik³ania operacji. partial removal do not occur very often, and the time of the Œredni czas hospitalizacji wynosi³ 9 dni. recurrence may either be very long or it may not happen at all. Wnioski: Wznowy torbieli koloidowych po prawie doszczêt- Although we recommend complete removal of the cyst, this nym lub czêœciowym usuniêciu nie wystêpuj¹ czêsto; czas do should not be pursued at the cost of incurring operative com- ich pojawienia siê po operacji mo¿e byæ bardzo d³ugi lub wzno- plications. wa mo¿e nie pojawiæ siê w ogóle. Autorzy rekomenduj¹ d¹¿enie do doszczêtnego usuniêcia torbieli, lecz nie kosztem wyst¹pie- Key words: colloid cyst of the third ventricle, neuroendoscopy, nia powik³añ operacyjnych. ventriculostomy, hydrocephalus. S³owa kluczowe: torbiel koloidowa komory III, neuroendo- skopia, wentrykulostomia, wodog³owie. Introduction Material and methods Although the colloid cyst of the third ventricle (TVCC) Seventeen patients (6 males and 11 females) were ana - is a benign tumour of neuroepithelial origin, it can be lysed. Mean age of patients was 44 (range 23-77). They potentially lethal [1-3]. There is also the risk of neurolo - were treated at the Neurosurgery Department of the Sile- gical deterioration or death due to hydrocephalus [4]. sian Medical University in Katowice, between 2000 and For more than 10 years the endoscopic technique has 2010, for third ventricle colloid cysts. Nineteen endo- been an alternative to microsurgical procedures [2,5-7]. scopic procedures in total were performed in those pa- On the other hand, with currently available endoscopic tients as well as ventriculostomy for obstructive hydro- technique, to obtain total resection of the cyst seems to cephalus resulting from TVCC. The diameter of the be more difficult than with ‘conventional’ microsurgi- tumours ranged from 5 mm to 23 mm (mean 15.75 mm). cal technique. A neurosurgeon who decides to perform Diagnoses were made on the basis of magnetic resonance an endoscopic TVCC resection faces a decision when to imaging (MRI) and computed tomography (CT) as well cease the surgery to decrease the probability of compli- as on the basis of postoperative histological examination. cations which can occur with this ‘minimally invasive’ Patients were operated on using a Storz neuroendoscope method. The majority of surgeons prefer the approach with a 5 lens via a standard third ventricle approach. In of ‘minimal complication rate’ to total endoscopic resec- the majority of cases (all except 1 patient) ventriculostomy tion of the cyst at all cost. Nevertheless, complete tumour was performed after the tumour removal. This technique, removal remains ‘a gold standard’ of surgery and accord- tools and approach were described in detail in our recent ing to some reports can be achieved nearly as frequent- papers [15,16]. None of the patients required microsur - ly as with microsurgery in specialized centres [1,5]. One gical removal of remnants of the tumour via cranioto- could even say that the endoscopic removal of TVCC has my. The radicality of TVCC removal has been assessed become a standard treatment in many medical centres. on the basis of the surgeon’s intraoperative report as well However, only a few centres prefer the endoscopic me - as MRI performed between the third and the sixth month thod, in spite of the fact that conventional microsurgi- of the postoperative period. In the postoperative period cal access usually contributes to a higher rate of com- all the patients had MRI once a year for a period of plications and often accounts for additional neurological 5 years, after which the imaging was repeated after 3 and deficits. 5 years. Clinical assessments were performed twice: In this report we summarize our over ten years of directly after the operation and in the long-term post- experience in endoscopic surgery of TVCC. Our inten- operative period. The patients were followed prospec- tion is to illustrate the problem from the perspective of tively (average 67.8 months, range 21-130 months). Cli - an average, non-specialized neurosurgical ward which nical symptoms before and after operations, the results routinely uses endoscopic technique. The objective of this of the operative procedure, radiological findings before contribution is to attempt to find and discuss an optimal and after the treatment and other details relating to the ‘trade-off’ between the desire to remove the tumour total- patients are presented in Table 1. ly and the risk of complications which can result from such a radical approach. Neurologia i Neurochirurgia Polska 2012; 46, 3 217 Stanis³aw Kwiek, Damian Kocur, Hanna Dole¿ych, KrzysztofSuszyñski,Sebast Stanis³aw Kwiek,DamianKocur,HannaDole¿ych, 218 Table 1. Clinical symptoms before and after surgery, completeness of third ventricle colloid cyst removal, radiological findings before and after surgery, complications and current neurological status of the patientsa Patient Age Symptoms CT/MRI findings Operative Compli- Follow-up CT/cine MRI control no. [years]/ at admission at admission procedure cations [months] examination sex 1. 30/M Headache, vomiting, diplopia Cyst size 15 mm, Subtotal cyst evacuation, No 81 Residual membrane, hydrocephalus ventriculostomy enlarged ventricular size 2. 23/F Acute headache, vomiting, Cyst size 18 mm, Subtotal cyst evacuation, No 50 Complete resection, memory deficits hydrocephalus ventriculostomy normal ventricular size 3. 77/F Mental status change, gait Cyst size 23 mm, Subtotal cyst evacuation, No 40 Residual membrane, disturbances, nystagmus, hydrocephalus ventriculostomy enlarged ventricular size lower limbs weakness 4. 53/M Acute headache, vegetative Cyst size 16 mm, Partial cyst evacuation, Transient 63 Small residual cyst, symptoms, mental status change hydrocephalus ventriculostomy CN III palsy normal ventricular size 5. 32/M Visual deficits Cyst size 17.5 mm, Total cyst evacuation, No 41 Complete resection, hydrocephalus ventriculostomy normal ventricular size ian Szajkowski,RyszardSordyl,WojciechŒlusarczyk, 6. 33/F Headache, vomiting, vertigo, Cyst size 13 mm, Total cyst evacuation, No 41 Complete resection, somnolence, depression, visual hydrocephalus ventriculostomy normal ventricular size deficits, numbness, pyramidal signs 7. 34/F Nystagmus, tremor Cyst size 8 mm, Subtotal cyst evacuation, No 80 Residual membrane, hydrocephalus ventriculostomy normal ventricular size 8.
Load more

Recommended publications
  • Colloid Cyst Presenting with Acute Hydrocephalus in an Adult Patient
    CASE REPORT East J Med 23(2): 128-131, 2018 DOI: 10.5505/ejm.2018.84803 Colloid cyst presenting with acute hydrocephalus in an adult patient: Case report and review of literature Abdurrahman Aycan1*, İsmail Gülşen1, Mehmet Arslan1, Fetullah Kuyumcu1, Mehmet Edip Akyol1, Harun Arslan2 1Department of Neurosurgery, School of Medicine, Yuzuncu Yil University, Van, Turkey 2Department of Radiology, School of Medicine, Yuzuncu Yil University, Van, Turkey ABSTRACT Colloid cysts (CC) are rare cystic lesions with a wide clinical spectrum including the asymptomatic cysts that are coincidentally diagnosed and the cysts leading to sudden death. The symptoms in CC are usually caused by obstructive hydrocephalus. The most common symptom for CC is headache. CC rarely cause intracranial herniation and death. In this study, we aimed to present our experience in the diagnostic and treatment process of a 57-year-old male patient with CC who presented to the emergency service with sudden severe headache, vomiting and confusion. Key Words: Colloid cysts, acute hydrocephalus, ventriculoperitoneal shunt Introduction fundoscopic ophthalmic examination revealed papilledema as an indicator of increased Colloid cysts (CC) are slow-growing benign intracranial pressure. The cranial CT detected tumors and are also known as neuroepithelial acute hydrocephalus caused by the growth of cysts. CC are mostly located at the third lateral ventricles. The cranial MRI, revealed a 12- ventricular roof posterior to the foramen of mm nodular mass lesion suggestive of colloid cyst,
    [Show full text]
  • Unilateral Hydrocephalus Due to Lateral Ventricle Colloid Cyst Treated by Neuroendoscopic Approach
    Open Access Case Report DOI: 10.7759/cureus.7825 Unilateral Hydrocephalus Due to Lateral Ventricle Colloid Cyst Treated by Neuroendoscopic Approach Clauder Oliveira Ramalho 1 , Amanda Viguini Tolentino Correa 2 , Tiago Hilton Vieira Madeira 1 , Alexandre Nascimento Ottoni 1 , Samuel Tau Zymberg 3 1. Neurosurgery, Hospital Santa Rita de Cássia, Vitoria, BRA 2. Neurologia, Faculdade Brasileira Multivix, Vitoria, BRA 3. Neurosurgery, Universidade Federal de São Paulo, São Paulo, BRA Corresponding author: Amanda Viguini Tolentino Correa, [email protected] Abstract Colloid cysts (CCs) are rare brain tumors that cause nonspecific neurological signs associated with acute or chronic increased intracranial pressure. They are usually located in the third ventricle and rarely in the lateral ventricle. This is a report of an unusual case of CC located in the lateral ventricle. A 36-year-old male patient presented a story of progressive holocranial headache that would get worse with head mobilization and cough. Radiological analysis demonstrated enlargement of the right lateral ventricle due to a cyst blocking the right foramen of Monro. The patient underwent endoscopic neurosurgery and the cyst was totally resected. Histological evaluation diagnosed a CC. Postoperative images showed no cyst remaining and normalized ventricular size. The patient evolved with total improvement of the symptoms. Literature review shows that it is a very uncommon entity. Lateral ventricle CCs as a cause for unilateral hydrocephalus is a very rare entity. Neuroendoscopic approach is a first-line treatment option for this condition. Categories: Medical Education, Neurology, Neurosurgery Keywords: colloid cysts, foramen of monro, third ventricle, lateral ventricle Introduction Colloid cysts (CCs) are rare congenital lesions, representing only 0.5%-1.0% of primary brain tumors, and comprises approximately 15%-20% of intraventricular lesions [1].
    [Show full text]
  • Endoscopic Treatment of Colloid Cysts of Third Ventricle
    Endoscopic Treatment of Colloid Cysts of Third Ventricle: Study of Three Cases Alioune Badara Thiam 1*, Elyse Denise Okome Mezui 2, Ndaraw Ndoye 1, Mbaye Thioub 3, Momar Code Ba 4, Seydou Boubacar Badiane 5 1 Assisstant Professor of Neurosurgery. Neurosurgery Clinic, Fann National University Hospital, Dakar, Senegal, West Africa 2 Fellowship of Neurosurgery, University of Montreal, Chief Assistant of Neurosurgery. Universite of Health Sciences of Gabon, West Africa 3 Chief Assistant of Neurosurgery. Neurosurgery Clinic, Fann National University Hospital, Dakar, Senegal, West Africa 4 Professor of Neurosurgery. Neurosurgery Clinic, Fann National University Hospital, Dakar, Senegal, West Africa 5 Professor of Neurosurgery, Head of neurosurgery clinic, Fann National University Hospital, Dakar, Senegal, West Africa * Corresponding Author Address: Fann University Hospital, Cheikh Anta Diop Avenue, BP 5035, Dakar, Senegal, West Africa. Tel:00 221 738 05 66, Fax: 00 221 738 05 66, Email: [email protected] Article Type: Case Series Received: September 28, 2015, Last revised: October 20,2015, Accepted: December 26, 2015 Abstract Introduction: Colloid cyst of the third ventricle is a rare intracranial benign tumor. Traditionally, treatment is carried out by transcallosal or transcortical transventricular approach. Currently, the endoscopic treatment of these lesions is increasingly used. We reported our preliminary experience about three cases of colloid cysts treated by neuroendoscopy. Methods and Patients: We conducted a retrospective study on the analysis of medical records of three patients with colloid cyst who had been operated endoscopically in our department. We used a rigid neuroendoscope of 2.7 mm in diameter, with an optical 30°. Coagulation of the wall, followed by a puncture aspiration of cystic contents and partial resection of its wall were performed during the surgery.
    [Show full text]
  • Familial Colloid Cyst of the Third Ventricle T ⁎ Luke J
    Interdisciplinary Neurosurgery 14 (2018) 186–187 Contents lists available at ScienceDirect Interdisciplinary Neurosurgery journal homepage: www.elsevier.com/locate/inat ☆ Familial colloid cyst of the third ventricle T ⁎ Luke J. Weisbroda, Kyle A. Smithb, , Roukoz B. Chamounb a School of Medicine, University of Kansas Medical Center, Kansas City, KS, USA b Department of Neurosurgery, University of Kansas Medical Center, Kansas City, KS, USA ARTICLE INFO ABSTRACT Keywords: Colloid cysts of the third ventricle are rare benign lesions. They can present as incidental finding on imaging or Familial with symptoms of obstructive hydrocephalus. To date, 18 familial cases of colloid cyst have been reported. Due Colloid cyst to the extreme rarity of these cysts, it has been suggested that there is a genetic component involved. This report Third ventricle presents a familial colloid cyst in non-twin brothers who both presented in their early twenties. In addition, both of them had congenital inguinal hernia. This may represent a potential association between familial colloid cysts and congenital inguinal hernia that could provide us with insight into the genetic mechanism involved. 1. Background followed with serial imaging. He presented to us after he started com- plaining of constant headaches, increased fatigue and sleepiness. There Colloid cysts of the third ventricle are rare, benign, slow-growing was an increase in size of the cyst on imaging, so he underwent surgical intra-cranial cysts. They are primarily located just posterior to the resection of the cyst. His brother had colloid cyst that was removed at foramen of Monro in the anterior aspect of the third ventricle, origi- the age of 27, with symptoms reported by patient of headache and nating from the roof of the ventricle [1].
    [Show full text]
  • Colloid Cyst of the Third Ventricle
    Journal of Pathology of Nepal (2019) Vol. 9, 1590 - 1594 cal Patholo Journal of lini gis f C t o o f N n e io p t a a l i - c 2 o 0 s 1 s 0 PATHOLOGY A N u e d p a n of Nepal l a M m e h d t i a c K al , A ad ss o oc n R www.acpnepal.com iatio bitio n Building Exhi Case Report Colloid cyst of the third ventricle: Histopathological and ultrastructural study Prasanna Karki1, Sameer Chhetri Aryal2, Gopi Aryal2, Rajesh Panth2, Manoj Bohara1, Sumit Joshi1, Prakash Paudel1, Damber Bikram Shah1, Gopal Raman Sharma1 1Department of Neurosciences, Neurosurgery division, Nepal Mediciti Hospital, Kathmandu, Nepal 2Department of Laboratory Medicine & Pathology, Nepal Mediciti Hospital, Lalitpur, Nepal ABSTRACT Keywords: Cysts occupying the third ventricle are rare lesions and may appear as an unusual cause of hydrocephalic Colloid cyst; crisis. A 40-year old woman with headache and one episode of fainting attack was diagnosed with Hydrocephalus; a cystic lesion in the third ventricle after brain MRI study. She was operated with the pre-operative Third ventricle; diagnosis of a colloid cyst. A yellowish, thick and mucoid cyst was observed intra-operatively. The total removal of the cyst was done along with the cyst wall. On histopathological evaluation, the cyst wall was lined by ciliated cuboidal to pseudostratified columnar epithelium resting on an eosinophilic basement membrane. The ultrastructural study showed the characteristic 9+2 pattern of cilia. Immunohistochemistry showed positive staining for epithelial membrane antigen (EMA), cytokeratin (CK), and negative staining for Glial fibrillary acidic protein (GFAP).
    [Show full text]
  • Colloid Cyst Curtailed: a Case Report of Spontaneous Colloid Cyst Regression Megan E
    www.surgicalneurologyint.com Surgical Neurology International Editor-in-Chief: Nancy E. Epstein, MD, Clinical Professor of Neurological Surgery, School of Medicine, State U. of NY at Stony Brook. SNI: Unique Case Observations Editor S. Ather Enam, MD, PhD Aga Khan University, Karachi, Sindh, Pakistan Open Access Case Report Colloid cyst curtailed: A case report of spontaneous colloid cyst regression Megan E. Cosgrove1, Jordan Saadon1, David A. Chesler2 1Department of Neurological Surgery, Renaissance School of Medicine at Stony Brook University, 2Department of Pediatrics, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, United States E-mail: *Megan E. Cosgrove - [email protected]; Jordan Saadon - [email protected]; David A. Chesler - [email protected] ABSTRACT Background: Colloid cysts arise from the roof of the third ventricle and are at risk for obstructing the flow of cerebrospinal fluid (CSF) and causing increased intracranial pressure. With advancements and increased frequency of imaging, colloid cysts are sometimes discovered incidentally. In these cases, the neurosurgeon is faced with the decision of whether to intervene or manage conservatively. *Corresponding author: Case Description: A 67-year-old man was discovered to have a colloid cyst when imaging was performed for David A. Chesler, transient neurologic deficits. CT and MRI brain revealed a 5mm lesion in the third ventricle with characteristics Departments of Neurological suggestive of the colloid cyst. Except for his initial presentation, the patient did not exhibit any symptoms and was Surgery and Pediatrics, State followed with serial imaging. Four years after discovery, the colloid cyst regressed in size. University of New York at Stony Conclusion: e evolution and resolution of colloid cysts remain elusive; however, the discovery of incidental Brook, Stony Brook, New York, colloid cysts due to more frequent and more advanced neuroimaging emphasize the importance of this topic.
    [Show full text]
  • The International Classification of Headache Disorders, 3Rd Edition (Beta Version)
    ICHD-3 beta Cephalalgia 33(9) 629–808 ! International Headache Society 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0333102413485658 cep.sagepub.com Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition (beta version) Copyright Translations The International Classification of Headache Disorders, The International Headache Society expressly permits 3rd edition (beta version), may be reproduced freely for translations of all or parts of ICHD-3 beta for purposes scientific, educational or clinical uses by institutions, of field testing and/or education, but will not endorse societies or individuals. Otherwise, copyright belongs them. Endorsements may be given by member national exclusively to the International Headache Society. societies; where these exist, such endorsement should be Reproduction of any part or parts in any manner for sought. All translations are required to be registered commercial uses requires the Society’s permission, with the International Headache Society. Before which will be granted on payment of a fee. Please con- embarking upon translation, prospective translators tact the publisher at the address below. are advised to enquire whether a translation exists ß International Headache Society 2013. already. All translators should be aware of the need Applications for copyright permissions should be sub- to use rigorous translation protocols. Publications mitted to Sage Publications Ltd, 1 Oliver’s Yard, 55 reporting studies making use of translations of all or City Road, London EC1Y 1SP, United Kingdom (tel: any part of ICHD-3 beta should include a brief descrip- þ44 (0) 20 7324 8500; fax: þ44 (0) 207 324 8600) tion of the translation process, including the identities (www.sagepub.co.uk).
    [Show full text]
  • Natural History of Colloid Cysts of the Third Ventricle
    CLINICAL ARTICLE J Neurosurg 125:1420–1430, 2016 Natural history of colloid cysts of the third ventricle Thomas L. Beaumont, MD, PhD,1 David D. Limbrick Jr., MD, PhD,1 Keith M. Rich, MD,1 Franz J. Wippold II, MD,2 and Ralph G. Dacey Jr., MD1 1Department of Neurological Surgery and 2Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri OBJECTIVE Colloid cysts are rare, histologically benign lesions that may result in obstructive hydrocephalus and death. Understanding the natural history of colloid cysts has been challenging given their low incidence and the small number of cases in most reported series. This has complicated efforts to establish reliable prognostic factors and surgical indica- tions, particularly for asymptomatic patients with incidental lesions. Risk factors for obstructive hydrocephalus in the set- ting of colloid cysts remain poorly defined, and there are no grading scales on which to develop standard management strategies. METHODS The authors performed a single-center retrospective review of all cases of colloid cysts of the third ventricle treated over nearly 2 decades at Washington University. Univariate analysis was used to identify clinical, imaging, and anatomical factors associated with 2 outcome variables: symptomatic clinical status and presentation with obstructive hydrocephalus. A risk-prediction model was defined using bootstrapped logistic regression. Predictive factors were then combined into a simple 5-point clinical scale referred to as the Colloid Cyst Risk Score (CCRS), and this was evaluated with receiver-operator characteristics. RESULTS The study included 163 colloid cysts, more than half of which were discovered incidentally. More than half of the incidental cysts (58%) were followed with surveillance neuroimaging (mean follow-up 5.1 years).
    [Show full text]
  • Journal Lester W
    EDITOR VOLUME 170 NUMBER 1 • JANUARY | FEBRUARY 2018 ESTABLISHED 1844 D. LUKE GLANCY, MD ASSOCIATE EDITOR L.W. JOHNSON, MD BOARD OF TRUSTEES CHAIR, GEOFFREY W. GARRETT, MD VICE CHAIR, K. BARTON FARRIS, MD SECRETARY/TREASURER, RICHARD PADDOCK, MD ANTHONY P. BLALOCK, MD D. LUKE GLANCY, MD JOURNAL LESTER W. JOHNSON, MD OF THE LOUISIANA STATE MEDICAL SOCIETY FRED A. LOPEZ, MD EDITORIAL BOARD MURTUZA J. ALI, MD RONALD AMEDEE, MD SAMUEL ANDREWS, II, MD BOB BATSON, MD EDWIN BECKMAN, MD FEATURED ARTICLES GERALD S. BERENSON, MD C. LYNN BESCH, MD JOHN BOLTON, MD 2 ASSESSING PSYCHOLOGICAL RESILIENCE AMONG PRE-SURGERY PLIF PATIENTS BRIAN BOULMAY, MD MICHELLE BOURQUE, JD IN LOUISIANA: PSYCHOMETRIC EVALUATION OF THE BRIEF RESILIENT COPING JAMES N. BRAWNER, III, MD SCALE BRETT CASCIO, MD Scott Wilks, PhD, Stephen Guillory, PA-C, Jennifer Geiger, MSW, Kevin Goodson, MD, QUYEN CHU, MD WILLIAM PATRICK COLEMAN III, MD Tatiana Begault, BS, Zibei Chen, MSW, Jorge Isaza, MD RICHARD COULON, MD LOUIS CUCINOTTA, MD VINCENT A. CULOTTA, JR., MD 6 COMBINED SURGICAL ONCOLOGY AND NEUROSURGERY APPROACH FOR JOSEPH DALOVISIO, MD RESECTION OF SACRAL CHORDOMA NINA DHURANDHAR, MD Racheal Wolfson, MD, Richard Menger, MD, MPA, Ouyen Dinh Chu, MD, MBA, JAMES DIAZ, MD, MPH & TM, DR. PH JOHN ENGLAND, MD Anthony Sin, MD JULIO FIGUEROA, MD ELIZABETH FONTHAM, MPH, DR. PH 10 INTRACRANIAL SEPTUM PELLUCIDUM DYSEMBRYOPLASTIC NEUROEPITHELIAL EDWARD FOULKS, MD BEN GUIDER, MD TUMOR: CASE PRESENTATION AND REVIEW OF PEDIATRIC SEPTUM PELLUCIDUM HENRY G. HANLEY, MD TUMORS ELIAS B. HANNA, MD LYNN H. HARRISON, JR., MD Rimal Dossani, MD, Devi Patra, MD, Nimer Adeeb, MD, Elizabeth Wild, MD, ROBERT HEWITT, MD Abhilasha Ghildyal, MD, Marjorie Fowler, MD, Christina Notarianni, MD MICHAEL HILL, MD LARRY HOLLIER, MD JOHN HUNT, MD 15 NEWBORN SCREENING FOR CONGENITAL ADRENAL HYPERPLASIA: REVIEW OF BERNARD JAFFE, MD UNDETECTED CASES IN LOUISIANA NEERAJ JAIN, MD TRENTON L.
    [Show full text]
  • Case Report CT and MRI Features of Pediatric-Aged Colloid Cysts: Report of Two Cases
    Hindawi Case Reports in Radiology Volume 2017, Article ID 2467085, 4 pages https://doi.org/10.1155/2017/2467085 Case Report CT and MRI Features of Pediatric-Aged Colloid Cysts: Report of Two Cases Hidayatullah Hamidi, Fazel Rahman Faizi, Najibullah Rasouly, and Mer Mahmood Shah Hoshang French Medical Institute for Children (FMIC), Kabul, Afghanistan Correspondence should be addressed to Hidayatullah Hamidi; [email protected] Received 24 September 2016; Revised 18 December 2016; Accepted 11 January 2017; Published 31 January 2017 Academic Editor: Alberto Spalice Copyright © 2017 Hidayatullah Hamidi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. A 10-year-old boy with the history of headache, anorexia, and vomiting was referred to our department to undergo a brain CT scan. CT images demonstrated a well-defined, rounded, hyperdense lesion at the level of the foramen of Monro causing moderate dilatation of the lateral ventricles. An 11-year-old girl with a long history of a headache was also referred to undergoing a brain MRI. MR images demonstrated a well-defined round abnormal signal intensity lesion at the level of the foramen of Monro causing moderate dilatation of lateral ventricles. The findings from imaging perspective were consistent with the colloid cyst of the third ventricle. Therefore, the diagnosis of the colloid cyst was made. 1. Introduction ventricles. No specks of calcification were appreciated in the cyst. No significant enhancement appeared after intravenous Colloid cysts are benign intracranial neoplasms constituting contrast injection (Figures 1(a) and 1(b)).
    [Show full text]
  • Colloid Cyst
    COLLOID CYST A colloid cyst is a benign tumour located usually in the fluid-filled spaces of the brain (ventricles), most commonly in the third ventricle. It consists of a fibrous wall containing mucoid substances. CAUSE The cause of colloid cysts is unknown. They are typical in location and presentation and are extremely slow growing. SIGNS AND SYMPTOMS Due to its position in the ventricles, it can cause symptoms by: • Raised intracranial pressure from intermittent blockage of CSF flow or, • Neurological deficits Raised intracranial pressure Intermittent and chronic obstructive hydrocephalus may result in headaches, nausea/vomiting or other neurological symptoms (eg blurred vision, seizures). Even with removal of the colloid cyst, chronic enlargement and scarring of the ventricles may be present resulting in persistent symptoms of raised intracranial pressure. Neurological deficits Pressure on surrounding tissue may result in neurological deficits. This may include weakness, numbness or personality changes. Memory and attention span may be unduly affected. Reports of sudden death has been reported with colloid cysts although the mechanism of how this occurs is not fully understood. Theories include sudden increases in intracranial pressure due to obstructive hydrocephalus or venous obstruction have not been confirmed. INVESTIGATIONS • Blood tests - there are no specific blood tests to diagnose a colloid cyst. Routine FBE, electrolytes and clotting profiles will be performed prior to operative removal of a colloid cyst • Radiological tests
    [Show full text]
  • (IHS) the International Classification of Headache Disorders
    ICHD-3 Cephalalgia 2018, Vol. 38(1) 1–211 ! International Headache Society 2018 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0333102417738202 journals.sagepub.com/home/cep Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition Copyright Translations The 3rd edition of the International Classification of Headache Disorders (ICHD-3) may be reproduced The International Headache Society (IHS) expressly freely for scientific, educational or clinical uses by insti- permits translations of all or parts of ICHD-3 for the tutions, societies or individuals. Otherwise, copyright purposes of clinical application, education, field testing belongs exclusively to the International Headache or other research. It is a condition of this permission Society. Reproduction of any part or parts in any that all translations are registered with IHS. Before manner for commercial uses requires the Society’s per- embarking upon translation, prospective translators mission, which will be granted on payment of a fee. are advised to enquire whether a translation exists Please contact the publisher at the address below. already in the proposed language. ßInternational Headache Society 2013–2018. All translators should be aware of the need to Applications for copyright permissions should be sub- use rigorous translation protocols. Publications report- mitted to Sage Publications Ltd, 1 Oliver’s Yard, 55 ing studies making use of translations of all or any part City Road, London EC1Y 1SP, United Kingdom of ICHD-3 should include a brief description of the (tel: þ44 (0) 207 324 8500; fax: þ44 (0) 207 324 8600; translation process, including the identities of the trans- [email protected]) (www.uk.sagepub.com).
    [Show full text]