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Case series of third ventricle colloid cyst – Our institutional experience

Groups and Associations Rehana Begum, Rahul Jain, Karthik C., Rajesh R. Raykar, Shailesh A.V. Rao
CASE SERIES 2025

Background: Colloid cysts of the third ventricle are histologically benign lesions that can cause obstructive hydrocephalus and death. Historically,colloid cysts have been removed by open microsurgical approaches. More recently, minimally invasive endoscopic and port-based techniques have offered decreased complications and length of stay, with improvedpatient satisfaction 

Methods: single center prospective study comprising 5 patients with female preponderance. Most common presenting symptoms were headache and visual disturbances. All patients were subjected to CEMRI of Brain. 

Results: 5 patients were included in the study, out of which 3 were females and 2 were males. In our study most common presenting symptoms were headache (100%) and visual disturbance (75%). All patients underwent endoscopic assisted excision of colloid cyst with right kocher’s EVD. None of the patients reported fresh neurological deficits in post op period. None of the patients underwent re-exploration. 

Conclusion: Endoscopic-assisted excision of colloid cysts of the third ventricle is associated with a marked reduction in perioperative complications. Endoscopic-assisted excision is associated with an increased likelihood of coagulated cyst wall remnants hence decreased risk of recurrence. Keywords: colloid cyst, endoscopic-assisted excision.

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