Huge colloid cyst: case report and review of unusual forms

The authors report a case of a huge colloid cyst of the septum pellucidum with acute worsening. A 42-year-old man was admitted for unexplained lethargy. A brain CT scan disclosed a huge intra-ventricular lesion. He experienced a sudden deterioration with coma, and was managed with bilateral ventricu...

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Bibliographic Details
Published inActa neurochirurgica Vol. 146; no. 4; pp. 397 - 401
Main Authors Hamlat, A, Casallo-Quiliano, C, Saikali, S, Adn, M, Brassier, G
Format Journal Article
LanguageEnglish
Published Austria Springer Nature B.V 01.04.2004
Subjects
Adult
Brain Diseases - complications
Brain Diseases - pathology
Brain Diseases - surgery
Coma - etiology
Cysts
Cysts - complications
Cysts - pathology
Cysts - surgery
Female
Humans
Neurosurgical Procedures - methods
Septum Pellucidum - pathology
Septum Pellucidum - surgery
Tomography, X-Ray Computed
Treatment Outcome
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Summary:The authors report a case of a huge colloid cyst of the septum pellucidum with acute worsening. A 42-year-old man was admitted for unexplained lethargy. A brain CT scan disclosed a huge intra-ventricular lesion. He experienced a sudden deterioration with coma, and was managed with bilateral ventricular external shunting. Total removal was performed a few days later using a right frontal trans-ventricular approach. The discussion focuses on colloid cyst potential to mimic other intracranial lesions, rendering accurate diagnosis difficult and leading to possibly inappropriate management in similar cases.
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ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-004-0221-8