Spontaneous haemorrhage and rupture of third ventricular colloid cyst.
BMJ Case Rep, 2012/9/03;2012
Ogbodo E[1], Kaliaperumal C, Bermingham N, O'Sullivan M
Affiliations
PMID: 22949002
Abstract
Acute bleeding within a colloid cyst of the third ventricle represents a rare event causing sudden increase in the cyst volume that may lead to acute hydrocephalus and rapid neurological deterioration. We report a case of spontaneous rupture of haemorrhagic third ventricular colloid cyst and its management. A 77-year-old ex-smoker presented with unsteady gait, incontinence and gradually worsening confusion over a 3-week period. Brain CT scan findings were highly suggestive of a third ventricular colloid cyst with intraventricular rupture. He underwent cyst excision and histopathology, which confirmed the radiological diagnosis with evidence of haemorrhage within the cyst. A ventriculo peritoneal shunt was performed for delayed hydrocephalus. Surgical management of these patients must include emergency ventriculostomy followed by prompt surgical removal of the haemorrhagic cyst.
MeSH terms
Aged; Cerebral Hemorrhage; Colloid Cysts; Humans; Male; Rupture, Spontaneous; Third Ventricle; Tomography, X-Ray Computed; Ventriculoperitoneal Shunt; Ventriculostomy
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