AJDRAJNR - American Journal of Neuroradiology

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Colloid Cysts of the Third Ventricle: Are MR Imaging Patterns Predictive of Difficulty with Percutaneous Treatment?

Carl El KhouryGo,a, Pierre Brugièresa, Philippe Decqa, Ruxandra Cosson-Stanescua, Catherine Combesa, Frédéric Ricolfia and André Gastona

a From the Department of Neuroradiology (C.E.K., P.B., R.C.-S., C.C., F.R., A.G.) and Neurosurgery (P.D.), Hôpital Henri Mondor, 51 avenue du Maréchal de Lattre de Tassigny, 9400 Creteil, France.



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FIG 1. Patient 7.

A, Coronal T2-weighted sequence shows a very low-signal colloid cyst of the third ventricle, with obstruction of Monro's foramen.

B, High signal intensity can be seen on the T1-weighted sequence. Aspiration during the endoscopic procedure was difficult. The cyst's contents were evacuated after opening the cyst's wall by using larger aspirating probes.



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FIG 2. Patient 8.

A, Axial T2-weighted sequence shows a high-signal colloid cyst of the third ventricle, obstructing Monro's foramina.

B, Axial T1-weighted sequence shows a low signal–intensity cyst.

C, Axial CT scan shows a hypodense cyst. Aspiration during endoscopic procedure was easy.