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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2021; 10(03): 236-237
DOI: 10.1055/s-0039-3400208
Short Communication

Excision of Colloid Cyst through Interhemispheric, Transcallosal, Transcavum, Interfornicial Approach

Santosh Kumar
1   Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, India
,
Nishanth Sadashiva
1   Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, India
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Abstract

Colloid cysts (CC) occur predominantly in the midline with majority involving roof of the third ventricle. In cases of cavum septum pellucidum (CSP), the surgeon can lose orientation when normal intraventricular structures are not encountered during surgery. We report a patient with CSP, who underwent right frontal parasagittal craniotomy, interhemispheric, transcallosal approach to reach the lesion. Lesion may not be seen in its usual location of foramen of Monroe, and entering the cavum may be confusing because no intraventricular landmarks will be seen. Excision of the cyst through the cavum usually requires interfornicial approach, and this structure must be separated gently to avoid injury.

Keywords

colloid cyst - cavum septum pellucidum - interfornicial approach


Publication History

Article published online:
19 April 2021

© 2021. Neurological Surgeons’ Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Sadashiva N, Sastry S, Bhat D, Pandey P. Operative nuances of excision of colloid cysts in septum pellucidum: a report of three cases. Neurol India 2014; 62 (06) 665-668
    CrossrefPubMedSearch in Google Scholar
  • 2 Ciric I, Zivin I. Neuroepithelial (colloid) cysts of the septum pellucidum. J Neurosurg 1975; 43 (01) 69-73
    CrossrefPubMedSearch in Google Scholar
  • 3 Timurkaynak E, Izci Y, Acar F. Transcavum septum pellucidum interforniceal approach for the colloid cyst of the third ventricle operative nuance. Surg Neurol 2006; 66 (05) 544-547 discussion 547
    CrossrefPubMedSearch in Google Scholar