Abstract

Advances in endoscopic technology have increased the treatment options for patients with colloid cysts of the third ventricle. The endoscopic technique used by the two neurosurgeons (KAS and PN) who perform most of the colloid cyst resections at our institution is presented. Technical nuances, such as the use of stereotactic navigation for optimal bur hole placement and novel techniques for endoscopic tissue removal, are discussed. Although early series of endoscopic resections are only now obtaining 10 years of follow-up, recurrence rates appear to be low. Intracranial endoscopy has enhanced the treatment of colloid cysts by shortening operative times and hospital stays. It appears to be a safe and effective alternative to open microsurgical resection.

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