Colloid Cyst Presenting as Head Injury

Colloid cysts are mucous- or hyaloid-filled lesions with an outer fibrous layer. These are rare developmental and nonneoplastic malformation. They may be found incidentally, while some cases may present with intermittent headache, rapid neurologic deterioration, drop attacks, and even sudden death....

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Main Authors: Ankur Shrivastava, Jitin Bajaj, Yad R. Yadav, Narayan M. Swamy, Vijay Parihar, Shailendra Ratre, Mallika Sinha, Ketan Hedaoo, Ambuj Kumar, Pankaj Singh Chauhan
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2023-03-01
Series:Indian Journal of Neurosurgery
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1729516
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author Ankur Shrivastava
Jitin Bajaj
Yad R. Yadav
Narayan M. Swamy
Vijay Parihar
Shailendra Ratre
Mallika Sinha
Ketan Hedaoo
Ambuj Kumar
Pankaj Singh Chauhan
author_facet Ankur Shrivastava
Jitin Bajaj
Yad R. Yadav
Narayan M. Swamy
Vijay Parihar
Shailendra Ratre
Mallika Sinha
Ketan Hedaoo
Ambuj Kumar
Pankaj Singh Chauhan
author_sort Ankur Shrivastava
collection DOAJ
description Colloid cysts are mucous- or hyaloid-filled lesions with an outer fibrous layer. These are rare developmental and nonneoplastic malformation. They may be found incidentally, while some cases may present with intermittent headache, rapid neurologic deterioration, drop attacks, and even sudden death. Early recognition of this disease may result in lesser mortality. Here, we present a 22-year-old male with a history of fall while driving his two-wheeler. A diagnosis of colloid cyst of the third ventricle with a head injury was made. Colloid cyst presenting with a head injury is exceedingly rare with only five case reports in the literature. This report may help to support surgical intervention in an asymptomatic patient, as the cyst can predispose head injury with serious consequences. It also stresses the importance of a high degree of suspicion when there is any well-defined radiological abnormality in the region of the third ventricle. A colloid cyst may easily be confused with intracranial hemorrhage due to hyperdensity in head trauma. It can be distinguished by the presence of an accompanying traumatic lesion. The cyst usually has well-defined round margins, and the morphologic appearance and density do not change on a follow-up computed tomography (CT) scan, whereas in hemorrhage the density usually regresses with clinical improvement on serial imaging.
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spelling doaj-art-e31deebf21084d9fbdfe52738fde53cf2025-08-20T02:04:17ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672023-03-01120107607810.1055/s-0041-1729516Colloid Cyst Presenting as Head InjuryAnkur Shrivastava0Jitin Bajaj1Yad R. Yadav2Narayan M. Swamy3Vijay Parihar4Shailendra Ratre5Mallika Sinha6Ketan Hedaoo7Ambuj Kumar8Pankaj Singh Chauhan9Department of Neurosurgery, Super Speciality Hospital, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, IndiaDepartment of Neurosurgery, Super Speciality Hospital, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, IndiaDepartment of Neurosurgery, Super Speciality Hospital, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, IndiaDepartment of Neurosurgery, Super Speciality Hospital, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, IndiaDepartment of Neurosurgery, Super Speciality Hospital, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, IndiaDepartment of Neurosurgery, Super Speciality Hospital, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, IndiaDepartment of Neurosurgery, Super Speciality Hospital, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, IndiaDepartment of Neurosurgery, Super Speciality Hospital, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, IndiaDepartment of Neurosurgery, Super Speciality Hospital, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, IndiaDepartment of Neurosurgery, Super Speciality Hospital, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, IndiaColloid cysts are mucous- or hyaloid-filled lesions with an outer fibrous layer. These are rare developmental and nonneoplastic malformation. They may be found incidentally, while some cases may present with intermittent headache, rapid neurologic deterioration, drop attacks, and even sudden death. Early recognition of this disease may result in lesser mortality. Here, we present a 22-year-old male with a history of fall while driving his two-wheeler. A diagnosis of colloid cyst of the third ventricle with a head injury was made. Colloid cyst presenting with a head injury is exceedingly rare with only five case reports in the literature. This report may help to support surgical intervention in an asymptomatic patient, as the cyst can predispose head injury with serious consequences. It also stresses the importance of a high degree of suspicion when there is any well-defined radiological abnormality in the region of the third ventricle. A colloid cyst may easily be confused with intracranial hemorrhage due to hyperdensity in head trauma. It can be distinguished by the presence of an accompanying traumatic lesion. The cyst usually has well-defined round margins, and the morphologic appearance and density do not change on a follow-up computed tomography (CT) scan, whereas in hemorrhage the density usually regresses with clinical improvement on serial imaging.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1729516colloid cystcraniocerebral traumaendoscopy
spellingShingle Ankur Shrivastava
Jitin Bajaj
Yad R. Yadav
Narayan M. Swamy
Vijay Parihar
Shailendra Ratre
Mallika Sinha
Ketan Hedaoo
Ambuj Kumar
Pankaj Singh Chauhan
Colloid Cyst Presenting as Head Injury
Indian Journal of Neurosurgery
colloid cyst
craniocerebral trauma
endoscopy
title Colloid Cyst Presenting as Head Injury
title_full Colloid Cyst Presenting as Head Injury
title_fullStr Colloid Cyst Presenting as Head Injury
title_full_unstemmed Colloid Cyst Presenting as Head Injury
title_short Colloid Cyst Presenting as Head Injury
title_sort colloid cyst presenting as head injury
topic colloid cyst
craniocerebral trauma
endoscopy
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1729516
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AT vijayparihar colloidcystpresentingasheadinjury
AT shailendraratre colloidcystpresentingasheadinjury
AT mallikasinha colloidcystpresentingasheadinjury
AT ketanhedaoo colloidcystpresentingasheadinjury
AT ambujkumar colloidcystpresentingasheadinjury
AT pankajsinghchauhan colloidcystpresentingasheadinjury