Colloid cysts of the third ventricle: are MR imaging patterns predictive of difficulty with percutaneous treatment?

نویسندگان

  • C El Khoury
  • P Brugières
  • P Decq
  • R Cosson-Stanescu
  • C Combes
  • F Ricolfi
  • A Gaston
چکیده

BACKGROUND AND PURPOSE Colloid cysts of the third ventricle are rare benign brain tumors. The purpose of this study was to correlate their patterns on MR images with the probability of success of percutaneous treatment. METHODS Nineteen patients underwent endoscopic treatment for colloid cysts of the third ventricle. The cases were divided into two groups based on difficulty of the aspiration procedure. We reviewed CT scans and MR images and divided cysts into groups based on their signal intensity on the MR images and their density on CT scans. Intensity and density were correlated with difficulty of aspiration during the endoscopic procedure. RESULTS The aspiration procedure was difficult in 63% of the cases. Eighty-nine percent of hyperdense cysts on unenhanced axial CT scans were categorized as difficult, and 75% of hypodense cysts were categorized as easy. On T2-weighted MR sequences, 100% of low-signal cyst contents were difficult and nearly 63% of high-signal lesions were easy. There was a significant correlation between the T2-weighted sequences and the CT scans regarding the difficulty of the aspiration procedure. CONCLUSION T2-weighted MR sequences are useful for predicting difficulty of aspiration during stereotactic or endoscopic procedures. A T2-weighted low-signal cyst is correlated with high-viscosity intracystic contents.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Endoscopic Treatment of Colloid Cysts of Third Ventricle: Study of Three Cases

Introduction: Colloid cyst of the third ventricle is a rare intracranial benign tumor. Traditionally, treatment is carried out by transcallosal or transcortical transventricular approach. Currently, the endoscopic treatment of these lesions is increasingly used. We reported our preliminary experience about three cases of colloid cysts treated by neuroendoscopy. Methods and Patients: We condu...

متن کامل

Colloid cyst of the third ventricle: imaging-pathologic correlation.

Colloid cysts are relatively rare intracranial lesions located in the rostral aspect of the third ventricle. They may produce acute hydrocephalus, brain herniation, and lead to death. Although the clinical and imaging features of colloid cysts are well known, their etiology and the factors responsible for their imaging features continue to be a subject of debate. We present the imaging-patholog...

متن کامل

MR and CT of masses of the anterosuperior third ventricle.

Six patients with masses of the anterosuperior portion of the third ventricle were imaged with MR and CT. Four patients had proved colloid cysts, one patient had a proved astrocytoma, and one patient had a presumed colloid cyst. Multiplanar MR imaging provided accurate localization of the anterosuperior third-ventricle mass in all cases. The MR intensity characteristics of the colloid cysts var...

متن کامل

Colloid cyst of the third ventricle: sometimes more conspicuous on CT than MR.

We present two cases of surgically proved colloid cysts that were more apparent on CT scans than on MR images. These cysts, while hyperdense on CT scans, were nearly isointense with brain on multiple MR sequences. This relative lack of visibility represents a potential pitfall when imaging a patient with headache.

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • AJNR. American journal of neuroradiology

دوره 21 3  شماره 

صفحات  -

تاریخ انتشار 2000