González OY, Nueva MJ, Jardines HY, Arias SY, Córdova AF, Piñón FE

Language: Spanish
References: 26
Page: 29-33
PDF size: 389.51 Kb.

ABSTRACT

Introduction: Colloids cysts are not very frequent in relation with the tumors of the nervous central system. However, it´s constitute 14 % of those located in the third ventricle. Their incidence is bigger between the 20 and 50 years. These lesions can occupy the ventricle totally, and also obstruct both foramina of Monro with biventricular hydrocephalus. Main clinical presentation is headache, gait disturbance and papilledema. Magnetic resonance image constitutes the election method for diagnosis, showing hyperintense lesion in T1 and iso/hypointense in T2. The main approaches are the transcortical transventricular, transcallosal, stereotaxic and endoscopic.
Clinical case: In October of 2013, was made for first time in “Dr. Carlos J. Finlay” Military Hospital (La Habana, Cuba) the resection by neuroendoscopy of third ventricle colloid cyst. A male patient, 56 year-old with symptoms of intracraneal hypertension was admitted. In the first place was due a septostomy. Then, cyst aspiration, Monro foraminoplasty, endoscopic third ventriculostomy, and finally capsule resection were done. With this procedure was achieved a total macroscopic excision of the lesion and the regression of the neurological symptoms presented by the patient.
Conclusions: Endoscopic excision is a safe and effective, minimally invasive method for colloid cyst removal. Excision of these lesions can be made with a minimum of complications, like it happened in this report.

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