Trattamento endoscopio delle cisti colloid razionale e tecnica

Translated title of the contribution: Endoscopic treatment of colloid cysts rationale and technique

P. L. Longatti, A. Martinuzzi, A. Fiorindi, F. Di Paola, M. Moro, A. Carteri

Research output: Contribution to journalArticle

Abstract

Colloid cysts are third ventricle lesions which call be treated surgically in three ways: microsurgical resection, stereotactic aspiration and endoscopic treatment. Endoscopy offers the possibility of opening the cyst widly with aspiration of all its content followed by coagulation of the internal colloid-secreting wall. Stereotactic aspiration is the least invasive approach in the treatment of colloid cysts, but the success of this method depends on cyst density. The microsurgical technique allows resection of the lesion at the cost of being more invasive and carrying a much greater risk of morbidity. From August 1995 to October 1997 we undertook ten endoscopic procedures to treat nine patients with colloid cysts of the third ventricle (six males, three females). The procedures were carried out using a Codman fibroendoscope in nine cases and a rigid Aesculap endoscope in one. Treatment was guided by stereotaxis in one case, neuronavigation in two and without a guide in seven. We had not recurrences in clinical symptoms or radiological views. Comparison between stereotactic aspiration and endoscopy weighed in favour of the latter treatment. Removal of the colloid substance is complete and controllable with the endoscopy whereas it is partial and uncontrollable with stereotaxis. Our results in the endoscopic treatment of colloid cysts of the third ventricle were encouraging. The procedure carries an acceptable percentage of complications and in our experience there were no instances of neurological deficit due to the procedure. Instead, microsurgical resection often gives rise to postoperative complications, especially the onset of epilepsy and memory impairment caused by lesions to the fornices.

Translated title of the contributionEndoscopic treatment of colloid cysts rationale and technique
Original languageItalian
Pages (from-to)853-859
Number of pages7
JournalRivista di Neuroradiologia
Volume13
Issue number6
Publication statusPublished - 2000

ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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    Longatti, P. L., Martinuzzi, A., Fiorindi, A., Di Paola, F., Moro, M., & Carteri, A. (2000). Trattamento endoscopio delle cisti colloid razionale e tecnica. Rivista di Neuroradiologia, 13(6), 853-859.