neurology-2018-posters-abstracts

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Journal of Neurology and Neurorehabilitation Research | Volume 3

August 23-24, 2018 | Paris, France

Neurology and Neurological Disorders

International Conference on

Impact of Endoscopic Gross Total Resection of Colloid Cysts on memory & quality of life

Sivashanmugam Dhandapani, Rajat Verma, Sameer Vyas, Sunil K. Gupta, Manju Dhandapani, Aanchal Sharma

and

Manju Mohanty

Postgraduate Institute of Medical Education and Research, India

Background:

Colloid cysts of third ventricle has conventionally

been managed with microsurgery. Endoscopic surgery is

increasingly being adopted with variable results. This study

is to evaluate the efficacy of endoscopic surgery among

these in relation to memory impairments and quality of life.

Methods:

Patients of colloid cysts who underwent endoscopic

surgery were studied with respect to demographics, clinico-

radiological features and extent of resection in MRI at 3

months. Memory impairments were assessed using PGIMS

and quality of life using WHOQOL-BREF, considering patients

with microscopic resection or stand-alone VP shunt as

controls. Appropriate statistical analyses were performed.

Results:

There was a total of 19 patients who underwent

endoscopic surgery, with a mean age of 35 years. The mean

maximum diameter of cysts was 19 mm. Gross total resection

could be achieved in all. In the mean follow-up of 37 months,

none of the patients had recurrence or ventriculomegaly.

There was non-significant trend of better memory scores

overall following endoscopic surgery, while minor impairment

in recent memory was noted in only 1 patient. The mean QOL

score was better after endoscopic surgery (297.6), compared

to microscopic (282.4) and VP shunt (250.9) controls. The

scores were significantly better in social domain of QOL after

endoscopic surgery, and non-significant among other domains.

Conclusion:

Gross total resection rate of colloid cysts

is near 100% after endoscopic surgery. While memory

improved overall, quality of life is better than after

either microscopic surgery or stand-alone VP shunt.