Colloid Cyst, 3rd Ventricle

Unknown Brain Case 11


Presentation

86 y/o man presenting with dementia.

Image Findings

A well defined oval mass is seen in the anterior 3rd ventricle, appearing of lower density than brain on the T1-weighted images and showing high signal on the proton density and T2-weighted images. With Gadolinium, no significant enhancement is seen.

Discussion

Third ventricular colloid cysts are gelatinous-filled cystic masses that commonly occur in the anterior third ventricle adjacent to the foramen of Monro. These may cause obstruction of the foramen. They are commonly bright on T1-weighted images and of lower signal on T2-weighted images, but the reverse pattern is not uncommon, as seen in this case. CSF flow artifacts may simulate a cyst in this region.


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Last modified December 31, 1996
Copyright 1996 Ray Ballinger, University of Florida and VA Medical Center, Gainesville, FL.
URL: http://www.xray.ufl.edu/~rball/teach/6699.html