2018 AANS Annual Scientific Meeting-Colloid Cyst Resection - Outcome in 80 Patients: The Transcallosal Approach is the Way to Go

Colloid Cyst Resection - Outcome in 80 Patients: The Transcallosal Approach is the Way to Go

Video Transcription

Video Summary

In this video, Dr. Matisson from the University of Copenhagen discusses the gaps in knowledge regarding the treatment and outcomes of cystic colloid tumors in the brain. He argues against focusing on comparing surgical techniques and instead emphasizes the importance of focusing on the results and patient outcomes. Dr. Matisson points out that there is a lack of information regarding surgical outcomes, neurological and neuropsychological outcomes, and quality of life for patients undergoing microsurgery for cystic colloid tumors. He highlights the need for more long-term studies on recurrence rates and the natural history of these tumors, as well as the impact of surgery on epilepsy. Dr. Matisson also discusses the limitations of current literature comparing endoscopy and microsurgery, emphasizing the need for more comprehensive cognitive screenings and a closer examination of residual cysts after endoscopic procedures. He concludes that the decision between endoscopy and microsurgery should be based on the ability to achieve complete removal of the cyst without neurological morbidity and the need for further study of neuropsychological outcomes and epilepsy in these patients. The video ends with a discussion among the speakers on the approach to emergent cases and the treatment of incidental asymptomatic cystic colloid tumors.

Asset Caption

Tiit I. Mathiesen, MD (Sweden)

Keywords

cystic colloid tumors

patient outcomes

microsurgery

neuropsychological outcomes

epilepsy

endoscopy

complete removal