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Region Hovedstaden - en del af Københavns Universitetshospital
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Surgical management of colloid cyst of the third ventricle

Publikation: Bidrag til tidsskriftKommentar/debatForskningpeer review

DOI

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  • C S Brostigen
  • T R Meling
  • P B Marthinsen
  • D Scheie
  • M Aarhus
  • E Helseth
Vis graf over relationer

BACKGROUND: The aim of this study of third ventricular colloid cysts (TVCC) from a defined population was to estimate the incidence, the presenting features, the surgical treatment, the treatment related complications, and the clinical and surgical outcomes.

METHODS: A reprospective study of 32 consecutive primary surgeries for TVCC was performed at Oslo University Hospital in the time period 2002-2015.

RESULTS: The estimated incidence rate for TVCC was 0.9 per million. Mean age was 41 years and the male-to-female ratio was 1:1.5. The most common presenting symptoms were headache (100%), ataxia (25%), reduced level of consciousness (22%), and impaired vision (19%). The surgical mortality was 0%. Gross total resection (GTR) was achieved in 69% based on intraoperative findings and in 81% based on postoperative imaging. The rate of surgery-related complications was 13%. There was no statistically significant difference between microsurgery and endoscopic surgery with respect to surgery-related complications and grade of resection. At time of follow-up, all patients were able to care for themselves.

CONCLUSIONS: Due to the risk of acute neurological deterioration and sudden death, surgical treatment is recommended for patients with symptomatic TVCC. This study shows that surgical resection can be performed with a fairly low risk and with a good long-term outcome.

OriginalsprogEngelsk
TidsskriftActa Neurologica Scandinavica
Vol/bind135
Udgave nummer4
Sider (fra-til)484-487
ISSN0001-6314
DOI
StatusUdgivet - apr. 2017

ID: 49285239