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Case Presentation: Colloid Cyst - Case 1
History and Physical
- 60 year old man who presented with nausea and vomiting of several days and decreased level of consciousness. CT scan of his brain showed severe hydrocephalus with dilated ventricles.
- He emergently underwent R frontal ventriculostomy as a temporizing measure to avoid brain hernation and death. The tip of the ventricular catheter is outlined in red.
Imaging
- MRI of the brain showed a cystic lesion obstructing the foramen of Monro, and thereby, causing hydrocephalus.
- The colloid cyst is outlined in a red dotted circle.
Surgical Procedure
- He underwent frameless stereotactic transcallosal craniotomy with complete resection of the colloid cyst.
- The colloid cyst is outlined in a red dotted circle in the surgical view through the surgical microscope as it is being resected.
Post op Course
- CT of brain on discharge showed complete resolution of hydrocephalus.
- Patient was discharged home in a few days in good health and with no post surgical complication and complete resolution of his symptoms.
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Last Updated on Sunday, 08 January 2012 20:30 |
