• Vedantam Rajshekhar.
• Department of Neurological Sciences, Christian Medical College, Vellore, India. rajshekhar @ cmcvellore.ac.in
• Stereotact Funct Neurosurg. 2012 Jan 1; 90 (1): 37-44.

BackgroundThe rate of recurrence following stereotactic aspiration of colloid cysts is not defined in the literature.AimsTo study the long-term imaging and clinical outcome in patients who had stereotactic aspiration of colloid cysts of the third ventricle.MethodsBetween 1987 and 1994, computerized tomography-guided stereotactic aspiration was attempted in 26 consecutive patients with colloid cysts of the third ventricle.ResultsThere was no mortality or permanent morbidity. A complete aspiration of the cyst was possible in 17 patients, a partial aspiration of the cyst was achieved in 6 and the aspiration failed in 3 patients. On long-term follow-up, symptomatic recurrence was noted in 5/6 patients after partial aspiration and 4/17 patients after complete aspiration (mean follow-up 84.8 months). Kaplan-Meier analysis revealed that after complete aspiration of the cyst, median time to recurrence on imaging is 42 months (95% CI 23.0-60.9 months) but median time to symptomatic recurrence is much later at 184 months (95% CI 88.2-279.7 months).ConclusionsStereotactic aspiration of colloid cysts remains a valid surgical option as complete aspiration leads to a good long-term outcome in several patients. Partial aspiration of the cyst should be followed by excision of the cyst, due to the high rate of symptomatic recurrence. However, periodic follow-up imaging is mandatory even after complete aspiration as delayed recurrences are possible.Copyright © 2012 S. Karger AG, Basel.

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