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Vol. 1. Núm. 6.
Páginas 396-400 (enero 1990)
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Vol. 1. Núm. 6.
Páginas 396-400 (enero 1990)
Quiste coloide del tercer ventrículo tratado mediante aspiración estereotáctica
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L.G. Yagüe, L.F. Porras, L. Lorenzana, M. Polaina, J.A. Rodríguez-Sánchez, J.M. Cabezudo
Sección de Neurocirugía. Hospital Infanta Cristina. Badajoz
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Resumen

Se presenta un caso de quiste coloide del tercer ventrículo tratado con éxito mediante aspiración estereotáctica. Los riesgos de este método terapéutico son sensiblemente menores que los abordajes por craneotomía. La excesiva movilidad y el contenido altamente viscoso de los quistes coloides constituyen las principales dificultades para la evacuación de estas lesiones de forma satisfactoria mediante estereotaxia. El uso de una aguja de biopsia en espiral, para puncionar la pared del quiste, y de unacánnla de diámetro amplio, para aspirar el material coloide, pueden facilitar la resolución de esos problemas. Se discuten las ventajas de este procedimiento estereotáctico.

Palabras clave:
Quiste coloide
Cirugía estereotáctica
Tercer ventriculo
Hidrocefalia
Summary

Successful stereotactic aspiration of a colloid cyst of the third ventricle is reported. The risks of this therapeutic method are lesser than those associated with open surgical approaches. The viscosity of the colloid material and the displacement of the cyst away from the aspiration needle are the main difficulties for the stereotactic evacuation of these tumors. A spiral biopsy needle to puncture the cyst wall, and a large cannula to aspirate the intracyst material can contribute to overcome those problems. The advantages of this stereotactic procedure are discussed.

Key words:
Colloid cyst
Stereotactic surgery
Third ventricle
Hydrocephalus

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