Giant Leaking Colloid Cyst Presenting with Aseptic Meningitis: Review of the Literature and Report of a Case

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• 作者：Mehrdad Hosseinzadeh Bakhtevari¹ ; ^{mehrdaada@yahoo.com" class="auth_mail" title="E-mail the corresponding author} ; Guive Sharifi¹ ; Reza Jabbari¹ ; Misagh Shafizad² ; Mona Rezaei¹ ; Mohammad Samadian¹ ; Omidvar Rezaei¹
• 关键词：Aseptic meningitis ; Colloid cysts ; Hydrocephalus ; Neuroendoscopy
• 刊名：World Neurosurgery
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：84
• 期：6
• 页码：1997-2001
• 全文大小：1150 K

文摘

Colloid 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.

Methods

We 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.

Results

The tumor was resected via endoscopic intervention. There were no persistent operative complications related to the endoscopic procedure.

Conclusions

Chemical or aseptic meningitis is an unusual clinical manifestation of a colloid cyst, complicating the differential diagnosis, especially in the elderly.