Obstructive hydrocephalus from Third ventricle colloid cyst
Risk Stratification
Risk stratification of hydrocephalus in colloid cysts of the third ventricle 1)
Colloid cysts have been associated with acute neurologic deterioration and sudden death.
May be non-specific and heterogeneous. The problems are frequently associated with development of hydrocephalus, these cysts may cause.
In some patients the colloid cyst caused a sudden deterioration of consciousness due to an acute hydrocephalus in other the cyst was discovered accidentally, during the course of epileptic seizures treatment and due to chronic headache with quanti- and qualitative deterioration of consciousness in the setting of chronic hydrocefalus, respectively 2).
Case reports
An unusual case of a patient who underwent Colloid cyst resection and then presented 6 weeks postoperatively with obstructive hydrocephalus. There appear to be no prior reports of such a delayed complication after colloid cyst resection.
A 50-year-old Caucasian woman underwent resection of a colloid cyst with an uncomplicated perioperative course. Postoperative imaging demonstrated complete resection of the cyst. She was discharged home on postoperative day 4 but presented 6 weeks later with symptoms of obstructive hydrocephalus resulting in poor neurologic outcome and ultimately death.
Patients presenting with symptoms of hydrocephalus after resection of a colloid cyst should be followed closely, and timely placement of an external ventricular drainage may be critical 3).
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