Ashirov Nurali, Arlanbekov Murat, Teltayev Daniyar, Zhetpisbaev Berik, Akshulakov Serik
Department of Minimal Invasive Neurosurgery, National Centre for Neurosurgery, Astana, Kazakhstan.
Department of Pathology, National Centre for Neurosurgery, Astana, Kazakhstan.
Surg Neurol Int. 2025 May 16;16:186. doi: 10.25259/SNI_1082_2024. eCollection 2025.
Colloid cysts (CCs) are a rare type of benign tumor, and the ones >30 mm in diameter are determined as giant CCs. The giant CCs of the cavum septum pellucidum (CSP) are located in the hard-to-reach areas of the brain, and they can be removed microsurgically and endoscopically. At present, the transition from the microsurgical resection to the endoscopic is observed, and researchers demonstrate several benefits of the endoscopic resection over the microsurgical. We noticed the absence of research illustrating the endoscopic resection of the giant CC of the CSP. Therefore, we decided to demonstrate a rare case performed in our hospital.
Our patient was a 57-year-old male who had suffered from dizziness, headache, nausea, urinary incontinence, short-term forgetfulness, gait ataxia, cognitive decline, and vision blurring. The eventual diagnosis of the giant CC in the CSP was established, and it was complicated by occlusive hydrocephalus and headache syndrome. The endoscopic resection of the giant CC in the septum pellucidum was performed using the endoscopic transseptal approach.
No complications were observed in the postoperative period. The tumor was removed completely, no recurrence was noted, and only a capsule of the tumor was observed in the control magnetic resonance imaging image taken 3 months after the operation. Considering these results, we conclude that endoscopic removal may have positive and safe outcomes as the surgical treatment method for the giant CCs located in the septum pellucidum.
胶体囊肿（CCs）是一种罕见的良性肿瘤，直径大于30mm的被判定为巨大CCs。透明隔腔（CSP）的巨大CCs位于脑部难以触及的区域，可通过显微手术和内镜手术切除。目前，正观察到从显微手术切除向内镜手术的转变，并且研究人员证明了内镜切除相对于显微手术的若干益处。我们注意到缺乏关于CSP巨大CCs内镜切除的研究。因此，我们决定展示我院进行的一例罕见病例。
我们的患者是一名57岁男性，患有头晕、头痛、恶心、尿失禁、短期记忆力减退、步态共济失调、认知衰退和视力模糊。最终确诊为CSP巨大CCs，并伴有梗阻性脑积水和头痛综合征。采用内镜经隔入路对透明隔内的巨大CCs进行了内镜切除。
术后未观察到并发症。肿瘤被完全切除，未发现复发，术后3个月的对照磁共振成像图像中仅观察到肿瘤包膜。考虑到这些结果，我们得出结论，内镜切除作为位于透明隔的巨大CCs的手术治疗方法可能具有积极且安全的效果。
