Colloid Cyst of the Foramen Monro

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“No matter how slow you go, you are still lapping everyone on the couch.”

– Confucius

Colloid Cyst of the Foramen Monro

This is a common benign cyst of neuro-ectodermal origin, which prepares sometimes a dilemma for the neurosurgeon.

At the hospital where I was working, a young neurosurgeon tried an innovative procedure. 

Finding no space to remove the cyst, he cut away the fornix on both sides.

The result?

Well, hydrocephalus was cured, but the patient could not even remember his name on awakening.

The brain is a delicate tissue, where the least intervention is the best.

Here we have to do with a completely sterile ventricular liquid of the CNS.

Why not connect the lateral ventricle on both slides through a natural conduit to the pleural space, which lies nearby?

Such a short conduit can be confectioned from a vein, or even from pealed skin.

Avoiding temporary derives to the skin prevents superinfection with Staphylococcus aureus.