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Colloid cyst of the third ventricle presenting with features of Terson's syndrome.

Jacob MK, Anand SK, George P - Middle East Afr J Ophthalmol (2014 Oct-Dec)

Bottom Line: Emergency craniotomy and excision of the cyst was done, and the patient is doing well for the last 18 months after the surgical intervention.The mechanism of this presentation, importance of early investigations, and timely intervention are highlighted in order to avoid serious neurological sequelae.The literature was extensively reviewed for atypical presentations of intraventricular colloid cyst.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Nizwa Hospital, Ministry of Health, Sultanate of Oman.

ABSTRACT
This report describes a middle-aged man presenting to the ophthalmologist with history of seeing floaters before both eyes since 2-weeks duration. A history of intermittent headache and dizziness of recent onset was elicited on questioning. Ocular examination showed bilateral early papilloedema and mild vitreous hemorrhage. Brain computed tomography (CT) disclosed features suggestive of colloid cyst of the third ventricle in the region of foramen of Monro with moderate hydrocephalus. Emergency craniotomy and excision of the cyst was done, and the patient is doing well for the last 18 months after the surgical intervention. The mechanism of this presentation, importance of early investigations, and timely intervention are highlighted in order to avoid serious neurological sequelae. The literature was extensively reviewed for atypical presentations of intraventricular colloid cyst.

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Related in: MedlinePlus

(c and d) Fundus picture of right and left eye showing the complete resolution of disc edema and retinal hemorrhages after surgical excision of the colloid cyst
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Figure 3: (c and d) Fundus picture of right and left eye showing the complete resolution of disc edema and retinal hemorrhages after surgical excision of the colloid cyst

Mentions: Fundus evaluation showed resolving vitreous hemorrhage and disc edema. Follow-up after 3 months showed complete resolution of disc edema and vitreous hemorrhage [Figure 3c and d]. He is being followed up closely for recurrence of symptoms. He has remained asymptomatic for the last 18 months after the intervention.


Colloid cyst of the third ventricle presenting with features of Terson's syndrome.

Jacob MK, Anand SK, George P - Middle East Afr J Ophthalmol (2014 Oct-Dec)

(c and d) Fundus picture of right and left eye showing the complete resolution of disc edema and retinal hemorrhages after surgical excision of the colloid cyst
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4219228&req=5

Figure 3: (c and d) Fundus picture of right and left eye showing the complete resolution of disc edema and retinal hemorrhages after surgical excision of the colloid cyst
Mentions: Fundus evaluation showed resolving vitreous hemorrhage and disc edema. Follow-up after 3 months showed complete resolution of disc edema and vitreous hemorrhage [Figure 3c and d]. He is being followed up closely for recurrence of symptoms. He has remained asymptomatic for the last 18 months after the intervention.

Bottom Line: Emergency craniotomy and excision of the cyst was done, and the patient is doing well for the last 18 months after the surgical intervention.The mechanism of this presentation, importance of early investigations, and timely intervention are highlighted in order to avoid serious neurological sequelae.The literature was extensively reviewed for atypical presentations of intraventricular colloid cyst.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Nizwa Hospital, Ministry of Health, Sultanate of Oman.

ABSTRACT
This report describes a middle-aged man presenting to the ophthalmologist with history of seeing floaters before both eyes since 2-weeks duration. A history of intermittent headache and dizziness of recent onset was elicited on questioning. Ocular examination showed bilateral early papilloedema and mild vitreous hemorrhage. Brain computed tomography (CT) disclosed features suggestive of colloid cyst of the third ventricle in the region of foramen of Monro with moderate hydrocephalus. Emergency craniotomy and excision of the cyst was done, and the patient is doing well for the last 18 months after the surgical intervention. The mechanism of this presentation, importance of early investigations, and timely intervention are highlighted in order to avoid serious neurological sequelae. The literature was extensively reviewed for atypical presentations of intraventricular colloid cyst.

Show MeSH
Related in: MedlinePlus