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Third ventricular colloid cyst, new surgical classification.

World Neurosurgery 2024 April 9
This research discusses colloid cyst surgical concerns, with an emphasis on the value of a novel surgical classification based on anatomical sites. In the study, 59 patients who underwent surgical intervention between 2009 and 2022 and were diagnosed with colloid cysts via CT scan and MRI participated. There were more male cases than female ones (57.6%). The majority of patients presented with headache (79%), followed by abnormal gait (12%), visual blurring (5%) and seizures (4%). In this study, we present a new surgical classification based on anatomical locations, distinguishing four types: open Monro type (50.84%), closed Monro type (23.72%), retro-foraminal type (13.55%), and interforniceal type (11.86%). In summary, the surgical classification that has been suggested provides significant insights into the varied anatomical sites where colloid cysts might be found. Microneurosurgeons significantly need to be oriented about the possible sites of colloid cysts through this classification to achieve complete and curative resection and reduce the likelihood of recurrence.

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