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Surgical Techniques in the Management of Colloid Cysts of the Third Ventricle

  • L. Symon
  • L. Calliauw
  • F. Cohadon
  • B. Guidetti
  • F. Loew
  • H. Nornes
  • E. Pásztor
  • B. Pertuiset
  • J. D. Pickard
  • M. G. Yaşargil
Part of the Advances and Technical Standards in Neurosurgery book series (NEUROSURGERY, volume 17)

Abstract

Dandy was the first to describe the successful removal of a colloid cyst in 192110. Initially a variety of open surgical approaches were described mainly through the frontal horn of the lateral ventricle or through the corpus callosum and although these were attended by considerable mortality and morbidity in the past12, 13, 23,24, 34, modern microsurgery has revolutionized the management of these conditions1, 27. The two series reported here by classical neurosurgical techniques, from Zürich and London, indicate that complete excision of these tumours may now be achieved with low mortality and morbidity. Since 1975, an increasing number of reports have described aspiration techniques avoiding craniotomy5, 11, 15, 17,29,30,31 and a series from Homburg/Saar is described using these techniques. The ventriculoscope has been employed stereotactically or freehand29 (Calliauw) and a brief description of the modern ventriculoscope is appended from Brussels.

Keywords

Lateral Ventricle Cyst Wall Choroid Plexus Burr Hole Bone Flap 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Antunes JL, Kenneth ML, Ganti SR (1980) Colloid cysts of the third ventricle. Neurosurgery 7: 450 – 455PubMedCrossRefGoogle Scholar
  2. 2.
    Apuzzo MLJ (ed) (1987) Surgery of the third ventricle. Williams & Wilkins, Baltimore, pp 872Google Scholar
  3. 3.
    Apuzzo MLJ, Chi-Shing Zee, Breeze RE (1987) Anterior and mid-third ventricular lesions: a surgical overview. In: Apuzzo MLJ (ed) Surgery of the third ventricle. Williams & Wilkins, Baltimore, pp 520 – 522Google Scholar
  4. 4.
    Auer L, Holzer P, Ascher PW, Heppner F (1988) Endoscopic neurosurgery. Acta Neurochir (Wien) 90: 1 – 14CrossRefGoogle Scholar
  5. 5.
    Bosch DA, Rahn T, Backlund EO (1978) Treatment of colloid cysts of the third ventricle by stereotaxic aspiration. Surg Neurol 9: 15 – 18PubMedGoogle Scholar
  6. 6.
    Bullard DE, Osborne E, Cook WA (1975) Colloid cysts of the third ventricle presenting as a ring-enhancing lesion on computed tomography. Neurosurgery 43: 69 – 73CrossRefGoogle Scholar
  7. 7.
    Burkle FM, Lipowski ZJ (1978) Colloid cyst of the third ventricle presenting as psychiatric disorder. Am J Psychiatry 135: 373 – 374PubMedGoogle Scholar
  8. 8.
    Ciric I, Zivin I (1975) Neuroepithelial (colloid) cysts of the septum pellucidum. J Neurosurg 43: 69 – 73PubMedCrossRefGoogle Scholar
  9. 9.
    Chang RD, Thompson GB (1983) Third ventricle colloid cysts presenting with acute neurological deterioration. Surg Neurol 19: 358 – 362CrossRefGoogle Scholar
  10. 10.
    Dandy WE (1933) Benign tumours of the third ventricle, diagnosis and treatment. Ch C Thomas, Springfield, 111Google Scholar
  11. 11.
    Donauer E, Moringlane JR, Ostertag CB (1986) Colloid cysts of the third ventricle. Open operative approach or stereotactic aspiration? Acta Neurochir (Wien) 83: 24 – 30CrossRefGoogle Scholar
  12. 12.
    Gardner WJ, Turner M (1937) Neuroepithelial cysts of the third ventricle. Arch Neurol Psychiatry 38: 1055 – 1061Google Scholar
  13. 13.
    Greenwood J (1949) Paraphyseal cysts of the third ventricle. J Neurosurg 6: 153 – 159PubMedCrossRefGoogle Scholar
  14. 14.
    Griffith HB (1986) Endoneurosurgery: Endoscopic intracranial surgery. In: Symon L etal(eds) Advances and technical standards in neurosurgery, vol 14. Springer, Wien New York, pp 3 – 24Google Scholar
  15. 15.
    Guitierrez-Lara F, Patino R, Hakin S (1975) Treatment of tumours of the third ventricle. A new and simple technique. Surg Neurol 3: 323 – 325Google Scholar
  16. 16.
    Guner M, Shaw MDM, Turner JW, Steven JL (1976) Computed tomography in the diagnosis of colloid cysts. Surg Neurol 6: 345 – 348PubMedGoogle Scholar
  17. 17.
    Hall WA, Lunsford LD (1987) Changing concepts in the treatment of colloid cysts. An 11-year experience in the CT era. J Neurosurg 66: 186 – 191PubMedCrossRefGoogle Scholar
  18. 18.
    Hirsch JF, Zavouri A, Renier D, Pierie-Khan A (1979) A new surgical approach to the third ventricle with interruption of the striathalamic vein. Acta Neurochir (Wien) 47: 137 – 147CrossRefGoogle Scholar
  19. 19.
    Hoffman HJ (1987) Considerations and techniques in the paediatric age group. In: Apuzzo MLJ (ed) Surgery of the third ventricle. Williams & Wilkins, Baltimore, pp 727 – 750Google Scholar
  20. 20.
    Jeeves MA, Simpson DA, Geffen G (1979) Functional consequences of the transcallosal removal of intraventricular tumours. J Neurol Psychiatry 42: 134 – 142CrossRefGoogle Scholar
  21. 21.
    Kelly R (1951) Colloid cysts of the third ventricle. Brain 74: 23 – 65PubMedCrossRefGoogle Scholar
  22. 22.
    Kendall B, Reider-Grosswaiser D, Valentine A (1983) Diagnosis of masses presenting within the ventricles on CT. Neurachol 25: 11 – 22Google Scholar
  23. 23.
    Little JR, MacCarthy CS (1974) Colloid cysts of the third ventricle. J Neurosurg 40: 230 – 235PubMedCrossRefGoogle Scholar
  24. 24.
    McKissock W (1951) The surgical treatment of colloid cysts of the third ventricle. Brain 74: 1 – 8PubMedCrossRefGoogle Scholar
  25. 25.
    Moringlane JR, Lippitz B, Ostertag CB (1988) Cerebral angiography under stereotaxic conditions. Acta Neurochir (Wien) 91: 147 – 150CrossRefGoogle Scholar
  26. 26.
    Mosberg WH, Blackwood W (1954) Mucus secreting cells in colloid cysts of the third ventricle. J Neuropathol Exp Neurol 13: 417 – 422PubMedCrossRefGoogle Scholar
  27. 27.
    Nitta M, Symon L (1985) Colloid cysts of the third ventricle, a review of 36 cases. Acta Neurochir (Wien) 76: 99 – 105CrossRefGoogle Scholar
  28. 28.
    Ostertag CB (1988) New head fixation for the Riechert stereotaxic system, technical note. Acta Neurochir (Wien) 94: 88 – 92CrossRefGoogle Scholar
  29. 29.
    Powell MP, Torrens MJ (1983) Isodense colloid cysts of the third ventricle: A diagnostic and therapeutic problem resolved by ventriculoscopy. Neurosurgery 13: 234 – 237PubMedCrossRefGoogle Scholar
  30. 30.
    Rivas JJ, Lobato RD (1985) CT-assisted stereotaxic aspiration of colloid cysts of the third ventricle. J Neurosurg 62: 238 – 242PubMedCrossRefGoogle Scholar
  31. 31.
    Sheldon CH, Jacques DB (1982) Neurologic endoscopy. In: Schmidek HH, Sweet WH (eds) Operative neurosurgical techniques. Indications, methods and results, vol 1. Grune and Stratton Inc, New York, pp 419 – 431Google Scholar
  32. Sussman NM, Gur RC, Gur RE etal (1983) Mutism as a consequence of callostomy. J Neurosurg 59: 514–519Google Scholar
  33. 33.
    Yasargil MG, Teddy PJ, Roth P (1987) Combined approaches. In: Apuzzo MLJ (ed) Surgery of the third ventricle. Williams & Wilkins, Baltimore, pp 462 – 475Google Scholar
  34. 34.
    Yenermen MH, Bowerman CI, Haymaker W (1958) Colloid cyst of the third ventricle. Clinical study of 54 cases in the light of previous publications. Acta Neurosurg 17: 211 – 277Google Scholar

Copyright information

© Springer-Verlag/Wien 1990

Authors and Affiliations

  • L. Symon
    • 1
  • L. Calliauw
    • 2
  • F. Cohadon
    • 3
  • B. Guidetti
    • 4
  • F. Loew
    • 5
  • H. Nornes
    • 6
  • E. Pásztor
    • 7
  • B. Pertuiset
    • 8
  • J. D. Pickard
    • 9
  • M. G. Yaşargil
    • 10
  1. 1.LondonEngland
  2. 2.GentBelgium
  3. 3.BordeauxFrance
  4. 4.RomeItaly
  5. 5.Homburg/SaarGermany
  6. 6.OsloNorway
  7. 7.BudapestHungary
  8. 8.ParisFrance
  9. 9.SouthamptonEngland
  10. 10.ZurichSwitzerland

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