Surgical Management of a Colloid Cyst of third ventricle

Surgical Management of a Colloid Cyst of third ventricle

A 20-year-old girl, an art student, presented with two episodes of transient loss of consciousness lasting 20–30 minutes, accompanied by neck pain radiating to the left side. Clinical evaluation, followed by MRI, revealed a third ventricular colloid cyst, causing obstruction at the foramen of Monro and resulting in intermittent symptoms of raised intracranial pressure.

The patient underwent neuro-navigation-guided craniotomy and successful excision of the colloid cyst. Intraoperative and postoperative management were uneventful. The patient was extubated immediately following the procedure. A postoperative CT scan confirmed complete excision of the cyst, with no residual tumor visible.

She was monitored in the ICU for one day, where she demonstrated remarkable recovery. Impressively, she resumed her artistic pursuits on the first postoperative day, highlighting her swift neurological recovery. Currently, she is stable and recovering well in the ward.

We extend our gratitude to the entire neurosurgery team and the operating theater staff for their seamless coordination and dedication to achieving an excellent outcome for the patient.

This case underscores the importance of timely diagnosis, precise surgical planning, and multidisciplinary teamwork in the successful management of colloid cysts.

Histopathology- Nimhans 

Colloid cyst 

Regarding Third ventricular colloid cysts , these are rare 1 to 3 % whole intracranial tumours but potentially life-threatening intracranial lesions, often presenting a significant surgical challenge due to their deep midline location and proximity to critical neurovascular structures. These cysts can cause acute hydrocephalus and elevated intracranial pressure through obstruction of the foramen of Monro, leading to symptoms such as severe headaches, intermittent loss of consciousness, or, in rare cases, sudden death. Surgical management, either through neuro-navigation-guided craniotomy or endoscopic resection, demands meticulous planning and precise execution to minimize complications. Advances in neuro-navigation and microsurgical techniques have significantly enhanced the safety and efficacy of these procedures, making early diagnosis and prompt intervention essential in preventing catastrophic events.

Dr Ganesh Veerabhadraiah 
HOD and Senior Consultant Neurosurgeon
Kauvery hospital 
Electronic City
Bengaluru 

Ph no 7249669911

#ColloidCyst #ThirdVentricularTumours #BrainTumours #IntraventricularTumours #EndoscopicTumourRemoval #Craniotomy

FAQ about Brain Tumor

In this blog “FAQ about Brain Tumor”, we have compiled some q/a you need to know about brain tumors.

What are the symptoms of concern for a brain tumor?

Prolonged headaches, vomiting, double vision, increasing drowsiness, weakness of the arm or leg.

How are brain tumors diagnose

Brain Tumor Diagnosis

  • CT Scan-screen the brain most of the time.
  • MRI SCAN – to know the exact location and spread.
  • MR Spectroscopy – to know the nature.
  • PET scan – to know the secondaries.
  • ANGIOGRAM – to see the brain vessels
  • Biopsy

What are the treatments for brain tumors?

Surgery is the primary treatment for most brain tumors.

  • The advent of PET CT, IGRT Gamma knife surgery (stereotactic radiosurgery)
  • Radiosurgery
  • Gamma knife
  • Chemotherapy

Who is most at risk for a brain tumor?

The very young, less than 2 years old and the elderly are at particular risk for having brain tumors.

What side effects does chemotherapy cause when treating brain tumors?

It may not cause any severe side effects. Sometimes nausea, vomiting, mouth sores, etc appear.

How long patient will be in the hospital?

If the patient who undergoes a craniotomy for a brain tumor with no complications will stay for 2 nights, the patients who have some complications may be required to stay longer.

What does a brain tumor look like?

What does a brain tumor look like

Can brain tumors spread?

It happens in rare cases but cells from Metastatic brain tumors can grow rapidly and destroy nearby brain tissue.

Any advances in tumor surgery which have made brain surgery safe? 

  • CUSA (Cavitron ultrasonic surgical aspiration)
  • Neuronavigation(minimally invasive)
  • Awake craniotomy (to resect tumor accurately)
  • Interventional MRI (real-time surgery)
  • Neuroendoscopy
  • Pre-operative embolization (endovascular to minimize bleeding)
  • Sterotaxy

What side effects does chemotherapy cause when treating brain tumors?

It may not cause any severe side effects. Sometimes nausea, vomiting, mouth sores, etc appear.

Which is the best hospital and neurosurgeon for brain tumor treatment in Bangalore

Neurowellness – The best Brain Care in Jayanagar, Bangalore, and Dr. Ganesh Veerabhadraiah is one of the highly skilled best Neurosurgeons in Bangalore.

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