Colloid cyst in a 12-week-old infant treated with endoscopic third ventriculostomy and cyst fenestration

C Burgess1, J Jayamohan

  • 1Department of Neurosurgery, John Radcliffe Hospital, Oxford, UK. chris.burgess@doctors.org.uk

Insights

A rare colloid cyst was successfully treated in a 12-week-old infant using endoscopic third ventriculostomy and cyst fenestration. This represents the youngest patient to undergo this specific minimally invasive procedure for this condition.

Area of Science:

  • Pediatric Neurosurgery
  • Cerebrospinal Fluid Dynamics

Background:

  • Colloid cysts are rare intracranial tumors, often presenting in the third ventricle.
  • Hydrocephalus secondary to colloid cysts can cause significant morbidity in infants.

Observation:

  • A 12-week-old male infant presented with symptoms attributed to a colloid cyst.
  • The colloid cyst was located in the third ventricle, causing obstructive hydrocephalus.

Findings:

  • Successful surgical management was achieved via endoscopic third ventriculostomy and cyst fenestration.
  • This case represents the youngest patient reported to undergo this specific endoscopic approach for a colloid cyst.

Implications:

  • Endoscopic fenestration is a viable and potentially life-saving treatment for infantile colloid cysts.
  • This minimally invasive technique may offer advantages over traditional open surgery in very young patients.

Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
Cystic Fibrosis: Management01:24

Cystic Fibrosis: Management

Cystic fibrosis (CF) is an autosomal recessive disorder that predominantly affects individuals of Northern European descent, occurring at a rate of 1 in 3500. It is caused by a genetic mutation in a gene on chromosome 7, most commonly the ΔF508 mutation, that codes for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. This results in thicker mucus secretions and obstruction pathologies in multiple organs, including the lungs and sinuses.
Sinus disease and chronic sinusitis...