• World Neurosurg · Dec 2015

    Review Case Reports

    Giant Leaking Colloid Cyst Presenting With Aseptic Meningitis Review of the Literature and Report of a Case.

    • Mehrdad Hosseinzadeh Bakhtevari, Guive Sharifi, Reza Jabbari, Misagh Shafizad, Mona Rezaei, Mohammad Samadian, and Omidvar Rezaei.
    • Department of Neurosurgery, Loghman e Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: mehrdaada@yahoo.com.
    • World Neurosurg. 2015 Dec 1;84(6):1997-2001.

    BackgroundColloid cysts are benign third ventricle lesions that need to be diagnosed correctly because of their association with sudden death. Chemical or aseptic meningitis is a rare presentation of a colloid cyst.MethodsWe present a case of a 69-year-old man with fever, alteration of mental status, and meningismus. Microbiological examination of the cerebrospinal fluid revealed aseptic meningitis. Brain imaging revealed a third ventricular colloid cyst with hydrocephalus.ResultsThe tumor was resected via endoscopic intervention. There were no persistent operative complications related to the endoscopic procedure.ConclusionsChemical or aseptic meningitis is an unusual clinical manifestation of a colloid cyst, complicating the differential diagnosis, especially in the elderly.Copyright © 2015 Elsevier Inc. All rights reserved.

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