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Endoscopic Approach for Colloid Cyst Resection
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Pediatric colloid cysts: a multinational, multicenter study. An IFNE-ISPN-ESPN collaboration.

Jonathan Roth1,2, Yurii Perekopaiko1, Danil A Kozyrev1

  • 11Department of Pediatric Neurosurgery, Dana Children's Hospital, Tel Aviv Medical Center; and.

Journal of Neurosurgery. Pediatrics
|February 11, 2022
PubMed
Summary

Colloid cysts (CCs) in children are rare but can cause serious symptoms like hydrocephalus. Close monitoring of incidentally found CCs is crucial, as many grow and may require surgery, though outcomes are generally favorable.

Keywords:
colloid cystendoscopyhydrocephalusoncology

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Area of Science:

  • Pediatric Neurosurgery
  • Neuropathology
  • Neuro-oncology

Background:

  • Colloid cysts (CCs) are uncommon intracranial tumors, particularly in pediatric populations.
  • Existing literature on pediatric CCs is limited, often aggregated with adult cases.
  • A comprehensive understanding of pediatric CCs requires dedicated, large-scale studies.

Purpose of the Study:

  • To investigate the clinical course of colloid cysts (CCs) in patients under 18 years of age.
  • To combine data from multiple international centers to increase sample size and statistical power.
  • To analyze presentation, treatment, and outcomes of pediatric CCs.

Main Methods:

  • A multinational, multicenter retrospective study.
  • Inclusion criteria: patients <18 years diagnosed with CCs.
  • Data collected: clinical presentation, imaging, treatment, and follow-up outcomes.

Main Results:

  • 134 children with CCs were analyzed; 22% were under 10 years old.
  • Symptomatic cases often presented with increased intracranial pressure and hydrocephalus.
  • Surgery was performed in 77% of cases, with a 20% recurrence rate, especially after endoscopic resection.

Conclusions:

  • Colloid cysts can occur at any pediatric age, but symptomatic cases are more common after age 10.
  • Incidental CCs require close follow-up due to growth potential and risk of hydrocephalus.
  • While acute presentations can be life-threatening, the overall outcome for treated pediatric CCs is favorable.