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Updated: Jan 31, 2026

Endoscopic Approach for Colloid Cyst Resection
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Executive Dysfunction After Fourth-Ventricle Epidermoid Cyst Resection.

Katie Veretennikoff1, Terry Coyne2, Vivien Biggs2

  • 1Neuropsychology Research Unit, The University of Queensland, Brisbane, Australia.

Cognitive and Behavioral Neurology : Official Journal of the Society for Behavioral and Cognitive Neurology
|December 19, 2018
PubMed
Summary

This case report details cognitive changes after removing a rare fourth ventricle epidermoid cyst. Post-surgery, the patient experienced executive dysfunction and visuospatial memory deficits.

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Area of Science:

  • Neuroscience
  • Neurosurgery
  • Cognitive Psychology

Background:

  • Intracranial epidermoid cysts are rare, accounting for <5% in the fourth ventricle.
  • Symptoms arise from mass effect on the cerebellum and cranial nerves, including facial pain and hearing loss.
  • No prior research has investigated the neuropsychological effects following surgical resection of these cysts.

Observation:

  • This case report details the neuropsychological assessment of a 49-year-old woman post-resection of a fourth ventricle epidermoid cyst.
  • A comprehensive cognitive evaluation assessed intelligence, attention, memory, social cognition, language, visual perception, and executive functioning.
  • The assessment was conducted in the acute stage following surgical removal of the cyst.

Findings:

  • The patient exhibited executive dysfunction after surgery.
  • Reduced visuospatial memory was also noted in the acute postoperative period.
  • These deficits suggest cognitive impairment can occur after resecting lesions in brain areas not traditionally linked to cognition.

Implications:

  • Cognitive deficits may arise after surgical removal of space-occupying lesions, even in atypical brain regions.
  • This is the first report on the neuropsychological consequences of surgically removing a congenital epidermoid cyst from the fourth ventricle.
  • Understanding these neuropsychological sequelae is crucial for managing patient expectations and postoperative care.