Ajlan Abdulrazag, Alwadee Rawan, Basindwah Sarah, Alsabbagh Badriah, Alhumud Mohammed Hamad, Alaskar Abdulaziz M
Department of Surgery, Division of Neurosurgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Surg Neurol Int. 2023 Mar 17;14:88. doi: 10.25259/SNI_1071_2022. eCollection 2023.
Colloid cysts have always provoked the interest of neurosurgeons due to their benign histology, wide variety of clinical presentations, and differences in reported surgical outcomes. Although recent studies have reported favorable outcomes with different surgical resection approaches, the transcallosal approach remains the most popular approach to date. In this series, we report the clinical and radiological outcomes of the transcallosal approach for the resection of third ventricle colloid cysts in 12 patients.
We present a case series of 12 patients who were radiologically diagnosed with a third ventricle colloid cyst who underwent transcallosal resection by a single surgeon in one center over a 6-year period. Clinical, radiological, and surgical data were collected, and surgical outcomes and complications were analyzed.
Of the 12 patients diagnosed with colloid cysts, 10 (83%) presented with headache, and five (41%) presented with memory disturbance. All 12 patients showed improvement or resolution of their symptoms following resection. Nine patients (75%) presented with hydrocephalus on radiology. All the patients required preoperative or intraoperative external ventricular drain insertion. Four patients (33%) experienced transient postoperative complications. None of the patients required long-term cerebrospinal fluids shunting. One (8%) of 12 patients experienced transient memory loss. No mortality was recorded during the follow-up.
Transcallosal resection of colloid cysts has a favorable prognosis. It allows for complete resection of the cyst with minimal transient postoperative complications. Most patients with postoperative complications show complete resolution of symptoms, with no long-term morbidity.
由于胶体囊肿组织学表现为良性、临床表现多样且报道的手术结果存在差异，一直引起神经外科医生的关注。尽管最近的研究报道了不同手术切除方法的良好结果，但经胼胝体入路至今仍是最常用的方法。在本系列研究中，我们报告了12例经胼胝体入路切除第三脑室胶体囊肿的临床和影像学结果。
我们呈现了一个包含12例患者的病例系列，这些患者经影像学诊断为第三脑室胶体囊肿，在6年期间由一名外科医生在一个中心进行了经胼胝体切除术。收集了临床、影像学和手术数据，并分析了手术结果和并发症。
在12例诊断为胶体囊肿的患者中，10例（83%）表现为头痛，5例（41%）表现为记忆障碍。所有12例患者在切除术后症状均有改善或缓解。9例患者（75%）影像学检查显示有脑积水。所有患者均需要在术前或术中插入脑室外引流管。4例患者（33%）出现短暂的术后并发症。没有患者需要长期脑脊液分流。12例患者中有1例（8%）出现短暂性记忆丧失。随访期间无死亡记录。
经胼胝体切除胶体囊肿预后良好。它能够完整切除囊肿，术后短暂并发症最少。大多数有术后并发症的患者症状完全缓解，无长期后遗症。
