Samadian Mohammad, Ebrahimzadeh Kaveh, Maloumeh Ehsan Nazari, Jafari Armin, Sharifi Guive, Shiravand Sepideh, Digaleh Hadi, Rezaei Omidvar
Skull Base Research Center, Loghman Hakim Hospital, Tehran, Iran.
Skull Base Research Center, Loghman Hakim Hospital, Tehran, Iran.
World Neurosurg. 2018 Mar;111:e440-e448. doi: 10.1016/j.wneu.2017.12.093. Epub 2017 Dec 23.
The endoscopic approach increasingly is used to treat third ventricular colloid cysts. Our objective was to assess the results of endoscopic resection of colloid cysts of the third ventricle.
A retrospective study was designed, and a series of 112 consecutive patients (76 male, 36 female) with third ventricular colloid cyst treated by endoscopic surgery was undertaken.
We found that the most common clinical presentations in patients with third ventricular colloid cyst were headache, vomiting, and impaired vision. Complete resection was obtained in majority of patients (92%). Meningitis, hemiparesis, and memory deficits occurred most commonly as postoperative complications.
High rates of complete resection of third ventricular colloid cysts, with low morbidity and mortality, are possible with an endoscopic approach. The results of this study support the role of endoscopic resection in the treatment of patients with third ventricular colloid cysts as a safe and effective modality and show how endoscopic resection of third ventricular colloid cysts can produce favorable results.
内镜治疗第三脑室胶样囊肿的应用日益增多。我们的目的是评估第三脑室胶样囊肿内镜切除术的效果。
设计了一项回顾性研究，纳入了112例连续接受内镜手术治疗的第三脑室胶样囊肿患者（男性76例，女性36例）。
我们发现第三脑室胶样囊肿患者最常见的临床表现为头痛、呕吐和视力障碍。大多数患者（92%）实现了完全切除。脑膜炎、偏瘫和记忆缺陷是最常见的术后并发症。
采用内镜治疗方法，第三脑室胶样囊肿的完全切除率较高，发病率和死亡率较低。本研究结果支持内镜切除术在治疗第三脑室胶样囊肿患者中作为一种安全有效的方式所发挥的作用，并展示了第三脑室胶样囊肿内镜切除术如何能产生良好效果。
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