Abstract
An 11-year-old boy presented with sudden onset of altered consciousness following
acute-onset severe headache and vomiting. Computed tomography showed hydrocephalus
due to obstruction of the foramen of Monro by an isodense mass in the anterior third
ventricle. Ventriculoperitoneal shunt was placed to relieve the hydrocephalus and
the patient improved clinically. Magnetic resonance imaging of the brain revealed
a well-defined lesion with isointense signal intensity on T1-weighted and hyperintense
signal intensity on T2-weighted images. Acute, right occipital lobe and right thalamic
infarction was revealed by diffusion-weighted imaging; smaller infarct was seen in
the medial left occipital lobe. Imaging findings were compatible with third ventricle
colloid cyst causing acute hydrocephalus and occipital lobe infarction due to central
transtentorial herniation.
Keywords
colloid cyst - hydrocephalus - third ventricle