Terson's Syndrome after Endoscopic Colloid Cyst Removal: Case Report and a Review of Reported Complications

Abstract

The authors report on a patient with Terson's syndrome after endoscopic colloid cyst resection of the third ventricle. This never reported complication in neuroendoscopy is explained by an increased intracranial pressure due to rinsing. Increased rinsing was needed to prevent the ventricles from collapsing. A free outflow channel and rinsing pace should always be matters of concern during neuroendoscopic procedures. Complications in neuroendoscopic colloid cyst removal are reviewed from the literature.

Key words

colloid cyst - neuroendoscopy - complication - Terson's syndrome - SAH

References

• 1 Schroeder HWS, Oertel J, Gaab MR. Incidence of complications in neuroendoscopic surgery.  Child's Nerv Syst. 2004;  20 878-883
• 2 Hellwig D, Grotenhuis JA, Tirakotai W. et al . Endoscopic third ventriculostomy for obstructive hydrocephalus.  Neurosurg Rev. 2005;  28 1-34
• 3 Teo C, Rahman S, Boop FA. et al . Complications of endoscopic neurosurgery.  Child's Nerv Syst. 1996;  12 248-253
• 4 Abdou MS, Cohen AR. Endoscopic treatment of colloid cyst of the third ventricle: Technical note and review of the literature.  J Neurosurg. 1998;  89 1062-1068
• 5 Decq P, Le Guerinel C, Brugieres P. et al . Endoscopic management of colloid cysts.  Neurosurgery. 1998;  42 1288-1296
• 6 Hellwig D, Bauer BL, Schulte M. et al . Neuroendoscopic treatment for colloid cyst of the third ventricle: The experience of a decade.  Neurosurgery. 2003;  52 525-533
• 7 Horn EM, Feiz-Erfan I, Bristol RE. et al . Treatment options for third ventricular colloid cysts: Comparision of open microsurgical versus endoscopic resection.  Neurosurgery. 2007;  60 613-620
• 8 Schroeder HWS, Gaab MR. Endoscopic resection of colloid cysts.  Neurosurgery. 2002;  51 1441-1445
• 9 Hodge JR, Carpenter K. Anterograde amnesia with fornix damage following removal of IIIrd ventricle colloid cyst.  J Neurol Neurosurg Psychiatry. 1991;  54 633-638
• 10 Mac Mackin D, Cockburn J, Anslow P. et al . Correlation of fornix damage with memory impairement in six cases of colloid cyst removal.  Acta Neurochir (Wien). 1995;  135 12-18
• 11 Kehler U, Brunori A, Gliemroth J. et al . Twenty colloid cysts − comparison of endoscopic and microsurgical management.  Minim Invasive Neurosurg. 2001;  44 121-127
• 12 King WA, Ullman JS, Frazee JG. et al . Endoscopic resection of colloid cysts: Surgical considerations using the rigid endoscope.  Neurosurgery. 1999;  44 1103-1111
• 13 Longatti P, Godano U, Gangemi M. et al . Cooperative study by the Italian neuroendoscopy group on the treatment of 61 colloid cysts.  Childs Nerv Syst. 2006;  22 1263-1267
• 14 Rodziewicz GS, Smith MV, Hodge Jr CJ. Endoscopic colloid cyst surgery.  Neurosurgery. 2000;  46 655-662
• 15 MacCarron MO, Alberts MJ, MacCarron P. A systematic review of Terson's syndrome: frequency and prognosis after subarachnoid haemorrhage.  J Neurol Neurosurg Psychiatry. 2004;  75 491-493
• 16 Ogawa T, Kitaoka T, Yoshinori D. et al . Terson syndrome. A case report suggesting the mechanism of vitreous hemorrhage.  Ophthalmology. 2001;  108 1654-1656
• 17 Khan SG, Frenkel M. Intravitreal hemorrhage associated with rapid increase in intracranial pressure (Terson's syndrome).  Am J Ophthalmol. 1975;  80 37-43
• 18 Medele RJ, Stummer W, Mueller A. et al . Terson's syndrome in subarachnoid hemorrhage and severe brain injury accompanied by acutely raised intracranial pressure.  J Neurosurg. 1998;  88 851-854
• 19 Grondin RT, Hader W, MacRae ME. et al . Endoscopic versus microsurgical resection of third ventricle colloid cysts.  Can J Neurol Sci. 2007;  34 197-207
• 20 Zohdi A, El Kheshin S. Endoscopic approach to colloid cysts.  Minim Invasive Neurosurg. 2006;  49 263-268

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