• Neurosurgery · Jul 2010

    Case Reports

    Full scope of options.

    • Costas G Hadjipanayis, Albert J Schuette, Nicholas Boulis, Charlie Hao, Daniel L Barrow, and Charles Teo.
    • Department of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia 30322, USA. chadjip@emory.edu
    • Neurosurgery. 2010 Jul 1;67(1):197-203; discussion 203-4.

    ObjectiveThe purpose of Clinical Problem Solving articles is to present management challenges to give practicing neurosurgeons insight into how field leaders address these dilemmas. This illustration is accompanied by a brief review of the literature on the topic.PresentationThe case of a 16-year-old boy presenting with headaches is presented. The patient is found to have a typical colloid cyst at the foramen of Monro. Bilateral ventriculoperitoneal shunt placement had been performed as an initial treatment of the patient before presentation.ResultsSurgeons experienced in open and endoscopic surgery discuss their individual approaches to colloid cysts, in the context of previous shunting, providing a varied perspective on the clinical challenges posed by these lesions.ConclusionBoth open and endoscopic options remain viable for excision of a colloid cyst. Each has associated potential complications, as illustrated by the current case.

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