Endoscopic resection of colloid cyst in normal-sized ventricular system

Abstract

Endoscopic resection of colloid cyst in patients with normal-sized ventricular system is challenging, because the limited intraventricular space increases the risk of injuring eloquent nervous structures and critical blood vessels. The utilization of frameless stereotaxy and tissue shaving device facilitates the procedure. An important operative step is the ventricular insufflation that allows for an endoscope introduction without causing inadvertent injury to the caudate nucleus. The attached clip shows the basic operative steps of the procedure. In this clip the solid colloid cyst contents necessitated an en-block colloid cyst resection, in lieu of initially aspirating the cyst contents and subsequently removing the cyst walls. The video can be found here: http://youtu.be/zzYYZEsd-uk. (http://thejns.org/doi/abs/10.3171/2013.V1.FOCUS12329)