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• Type of Material: Article
• Authors: Constantinos G Hadjipanayis, Emory University; Albert Jesse Schuette Jr, Emory University; Nicholas Boulis, Emory University; Charlie Hao, Emory University; Daniel L Barrow, Emory University; Charles Teo, University of New South Wales
• Language: English
• Date: 2010-07
• Publisher: Lippincott, Williams & Wilkins
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2010, Oxford University Press
• Final Published Version (URL): http://ovidsp.tx.ovid.com/sp-3.7.1b/ovidweb.cgi?&S=BKIAFPIPNLDDKEOANCPKPBOBBHCOAA00&Link+Set=S.sh.18%7c1%7csl_10
• Title of Journal or Parent Work: Neurosurgery
• ISSN: 0148-396X
• Volume: 67
• Issue: 1
• Start Page: 197
• End Page: 204
• Grant/Funding Information: National Institute of Neurological Disorders and Stroke : NINDS
• Keywords: Endoscopic third ventriculostomy; Neuroendoscopy; Ventriculoperitoneal shunt; Colloid cyst
• Research Categories: Biology, Neuroscience; Health Sciences, Medicine and Surgery

Abstract

OBJECTIVE The purpose of Clinical Problem Solving articles is to present management challenges to give practicing neurosurgeons insight into how field leaders address these dilemmas. This illustration is accompanied by a brief review of the literature on the topic. PRESENTATION The case of a 16-year-old boy presenting with headaches is presented. The patient is found to have a typical colloid cyst at the foramen of Monro. Bilateral ventriculoperitoneal shunt placement had been performed as an initial treatment of the patient before presentation. RESULTS Surgeons experienced in open and endoscopic surgery discuss their individual approaches to colloid cysts, in the context of previous shunting, providing a varied perspective on the clinical challenges posed by these lesions. CONCLUSION Both open and endoscopic options remain viable for excision of a colloid cyst. Each has associated potential complications, as illustrated by the current case.