Microscopic excision of a colloyd cyst of the third ventricle assisted by endoscopy. Case report and literature analysis
Introduction: Colloid cysts are histologically benign lesions, probably derived from the endoderm, which represent 0.3-2% of brain tumors. They are usually attached to the roof of the third ventricle in direct relation to the foramen of Monro, which can cause a blockage to the circulation of cerebr...
| Autores principales: | , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/32094 |
| Aporte de: |
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I10-R327-article-32094 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
colloid cysts neuroendoscopy microsurgery quiste coloide neuroendoscopía microcirugía cistos coloides neuroendoscopia microcirurgia |
| spellingShingle |
colloid cysts neuroendoscopy microsurgery quiste coloide neuroendoscopía microcirugía cistos coloides neuroendoscopia microcirurgia Alvarez Cuevas, Gonzalo Sciarra, Mariano De Battista, Juan Carlos Coca, Hugo Campos, Gerardo Toscano, Maximiliano Microscopic excision of a colloyd cyst of the third ventricle assisted by endoscopy. Case report and literature analysis |
| topic_facet |
colloid cysts neuroendoscopy microsurgery quiste coloide neuroendoscopía microcirugía cistos coloides neuroendoscopia microcirurgia |
| author |
Alvarez Cuevas, Gonzalo Sciarra, Mariano De Battista, Juan Carlos Coca, Hugo Campos, Gerardo Toscano, Maximiliano |
| author_facet |
Alvarez Cuevas, Gonzalo Sciarra, Mariano De Battista, Juan Carlos Coca, Hugo Campos, Gerardo Toscano, Maximiliano |
| author_sort |
Alvarez Cuevas, Gonzalo |
| title |
Microscopic excision of a colloyd cyst of the third ventricle assisted by endoscopy. Case report and literature analysis |
| title_short |
Microscopic excision of a colloyd cyst of the third ventricle assisted by endoscopy. Case report and literature analysis |
| title_full |
Microscopic excision of a colloyd cyst of the third ventricle assisted by endoscopy. Case report and literature analysis |
| title_fullStr |
Microscopic excision of a colloyd cyst of the third ventricle assisted by endoscopy. Case report and literature analysis |
| title_full_unstemmed |
Microscopic excision of a colloyd cyst of the third ventricle assisted by endoscopy. Case report and literature analysis |
| title_sort |
microscopic excision of a colloyd cyst of the third ventricle assisted by endoscopy. case report and literature analysis |
| description |
Introduction: Colloid cysts are histologically benign lesions, probably derived from the endoderm, which represent 0.3-2% of brain tumors. They are usually attached to the roof of the third ventricle in direct relation to the foramen of Monro, which can cause a blockage to the circulation of cerebrospinal fluid, determining hydrocephalus and in some cases sudden death. Other more common symptoms are headache, nausea and vomiting, blurred vision, gait ataxia, and cognitive impairment. Treatment options include microsurgery, endoscopy, stereotaxic casting, or cerebrospinal fluid shunts for the treatment of hydrocephalus. The objective of surgery is the total excision of the lesion. It should be noted that the microsurgical technique allows total excision more frequently, but at the cost of greater manipulation and tissue trauma; on the contrary, endoscopic being minimally invasive, allows better tissue preservation, although the rates of complete tumor excision are usually lower due to the difficulties in dissecting the lesions densely adhered to the roof of the third ventricle.
Method: We present a clinical case of a patient with a third ventricle tumor compatible with a colloid cyst, with progressive hydrocephalus, operated with microsurgical technique and endoscopic assistance.
Result: Total excision of the colloid cyst with improvement of the symptoms. Antegrade memory disorder that resolved completely after 3 months.
Conclusion: The endoscopy-assisted microsurgical technique is safe for the management of this pathology and provides intraoperative benefits.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/32094 |
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I10-R327-article-320942021-12-29T20:14:46Z Microscopic excision of a colloyd cyst of the third ventricle assisted by endoscopy. Case report and literature analysis Exéresis microquirúrgica de quiste coloide del tercer ventrículo asistido por endoscopía. Presentación de un caso y revisión bibliográfica Excisão microscópica de um cisto coloidal do terceiro ventrículo assistida por endoscopia. Relato de caso e análise da literatura Alvarez Cuevas, Gonzalo Sciarra, Mariano De Battista, Juan Carlos Coca, Hugo Campos, Gerardo Toscano, Maximiliano colloid cysts neuroendoscopy microsurgery quiste coloide neuroendoscopía microcirugía cistos coloides neuroendoscopia microcirurgia Introduction: Colloid cysts are histologically benign lesions, probably derived from the endoderm, which represent 0.3-2% of brain tumors. They are usually attached to the roof of the third ventricle in direct relation to the foramen of Monro, which can cause a blockage to the circulation of cerebrospinal fluid, determining hydrocephalus and in some cases sudden death. Other more common symptoms are headache, nausea and vomiting, blurred vision, gait ataxia, and cognitive impairment. Treatment options include microsurgery, endoscopy, stereotaxic casting, or cerebrospinal fluid shunts for the treatment of hydrocephalus. The objective of surgery is the total excision of the lesion. It should be noted that the microsurgical technique allows total excision more frequently, but at the cost of greater manipulation and tissue trauma; on the contrary, endoscopic being minimally invasive, allows better tissue preservation, although the rates of complete tumor excision are usually lower due to the difficulties in dissecting the lesions densely adhered to the roof of the third ventricle. Method: We present a clinical case of a patient with a third ventricle tumor compatible with a colloid cyst, with progressive hydrocephalus, operated with microsurgical technique and endoscopic assistance. Result: Total excision of the colloid cyst with improvement of the symptoms. Antegrade memory disorder that resolved completely after 3 months. Conclusion: The endoscopy-assisted microsurgical technique is safe for the management of this pathology and provides intraoperative benefits. Introducción: Los quistes coloides son lesiones histológicamente benignas, probablemente derivadas del endodermo, que representan el 0,3-2% de los tumores cerebrales. Habitualmente se encuentran adheridas al techo del tercer ventrículo en relación directa con el foramen de Monro, lo que puede provocar un bloqueo a la circulación del líquido cefalorraquídeo determinando hidrocefalia y en algunos casos muerte súbita. Otros síntomas más habituales son cefalea, náuseas y vómitos, visión borrosa, ataxia de la marcha y deterioro cognitivo. Las opciones terapéuticas incluyen la microcirugía, endoscopia, vaciamiento estereotáxico o derivaciones de líquido cefalorraquídeo para el tratamiento de la hidrocefalia. El objetivo de la cirugía es la exéresis total de la lesión. Se destaca que la técnica microquirúrgica permite exéresis totales con más frecuencia, pero a costa de mayor manipulación y traumatismo tisular; por el contrario la endoscópica al ser mínimamente invasiva permite mejor preservación tisular, aunque los índices de exéresis completa del tumor suelen ser menores debido a las dificultades para disecar a las lesiones densamente adheridas al techo del tercer ventrículo. Método: Se presenta un caso clínico de un paciente con un tumor del tercer ventrículo compatible con quiste coloide, con hidrocefalia evolutiva, operado con técnica microquirúrgica y asistencia endoscópica. Resultado: Exéresis total del quiste coloide con mejoría de la sintomatología. Trastorno mnésico anterógrado que resolvió a los 3 meses completamente. Conclusión: La técnica microquirúrgica asistida por endoscopia es segura para el manejo de esta patología y aporta beneficios intraoperatorios. Introdução: Os cistos colóides são lesões histologicamente benignas, provavelmente derivadas do endoderma, que representam 0,3-2% dos tumores cerebrais. Geralmente estão fixados no teto do terceiro ventrículo em relação direta ao forame de Monro, o que pode causar um bloqueio à circulação do líquido cefalorraquidiano, determinando hidrocefalia e, em alguns casos, morte súbita. Outros sintomas mais comuns são dor de cabeça, náuseas e vômitos, visão turva, ataxia da marcha e comprometimento cognitivo. As opções de tratamento incluem microcirurgia, endoscopia, esvaziamento estereotáxico ou shunts do líquido cefalorraquidiano para o tratamento da hidrocefalia. O objetivo da cirurgia é a excisão total da lesão. Deve-se ressaltar que a técnica microcirúrgica permite a excisão total com maior frequência, mas às custas de maior manipulação e trauma tecidual; Ao contrário, a endoscopia, por ser minimamente invasiva, permite melhor preservação do tecido, embora as taxas de excisão tumoral completa sejam geralmente menores devido à dificuldade de dissecção das lesões densamente aderidas ao teto do terceiro ventrículo. Método: Apresentamos o caso clínico de um paciente portador de terceiro tumor ventricular compatível com cisto colóide, com hidrocefalia progressiva, operado com técnica microcirúrgica e assistência endoscópica. Resultado: Excisão total do cisto colóide com melhora dos sintomas. Distúrbio de memória anterógrada que se resolveu completamente após 3 meses. Conclusão: A técnica microcirúrgica assistida por endoscopia é segura para o manejo dessa patologia e traz benefícios intraoperatórios. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-12-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/32094 10.31053/1853.0605.v78.n4.32094 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 4 (2021); 395-397 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 4 (2021); 395-397 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 4 (2021); 395-397 1853-0605 0014-6722 10.31053/1853.0605.v78.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/32094/36704 https://revistas.unc.edu.ar/index.php/med/article/view/32094/36475 Derechos de autor 2021 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |