Open AccessA 3rd ventricular colloid cyst causing acute hydrocephalus with stunned myocardium: A case report
Author(s) -
Mohammed A M Ayasa,
Nissar Shaikh,
Marco A. E. Marcus
Publication year - 2020
Publication title -
qatar medical journal
Language(s) - English
Resource type - Journals
eISSN - 2227-0426
pISSN - 0253-8253
DOI - 10.5339/qmj.2020.28
Subject(s) - colloid cyst , medicine , third ventricle , hydrocephalus , heart failure , external ventricular drain , vomiting , sudden death , pulmonary edema , surgery , cardiology , anesthesia , lung
Background: Third ventricular colloid cysts are benign but may cause acute hydrocephalus, raised intracranial pressure, decreased consciousness level, and sudden death. These ventricular colloid cysts associated with stunned myocardium are rarely reported in the literature. This study reported a case of a third ventricular colloid cyst presented as acute hydrocephalus complicated with severe neurogenic pulmonary edema, stunned myocardium, and heart failure, which survived at the end. Case presentation: A 29-year-old woman presented to the emergency department with one day history of headache, vomiting, and altered consciousness level. Early brain imaging showed a cyst in the third ventricle. The patient rapidly deteriorated neurologically and developed severe pulmonary edema and heart failure requiring immediate external ventricular drain and heart failure management. Once stabilized, she underwent endoscopic excision of the ventricular cyst. Histopathology confirmed the diagnosis of colloidal cyst. She survived all these acute life-threatening events, improved, and stabilized, and was discharged home. She was followed up in outpatient clinics after 6 months of discharge with no symptoms or neurological deficit. Conclusion: A third ventricular colloid cyst can cause acute hydrocephalus leading to stunned myocardium requiring immediate surgical intervention, advanced hemodynamic monitoring, and acute heart failure management.