The impact of surgical resection on headache disability and quality of life in patients with colloid cyst

Cephalalgia. 2017 Apr;37(5):442-451. doi: 10.1177/0333102416648654. Epub 2016 May 10.

Abstract

Introduction Colloid cysts are histologically benign but can present with a broad spectrum of symptoms. A systematic review of the literature did not reveal any patient-centered data on the headache disability and quality of life (QoL) of these patients. Methods This is a retrospective cohort study of 187 colloid cyst patients from the Colloid Cyst Survival Group who completed a survey that included demographic data, clinical data, a modified QoL survey (SF36v2), and a headache disability inventory or index (HDI). Results Using multivariable linear regressions, we confirmed that the physical (PCS) and mental (MCS) components of SF-36 were significantly increased in the surgery group after adjustment for various baseline characteristics ( p = 0.025; p = 0.006). Self-reported headache disability was significantly decreased with surgery when adjusted for the same baseline characteristics ( p = 0.02). Finally, patients with an incidental diagnosis of colloid cyst reported similar benefits from surgery in PCS, MCS and HDI. Conclusion Our results suggest that colloid cyst patients who underwent a surgical resection self-report a better QoL and less headache disability compared with patients who did not undergo surgery. Future prospective studies with baseline measures of QoL are indicated to confirm our findings.

Keywords: Colloid cyst; HDI; SF-36; headaches; quality of life; surgery.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cohort Studies
  • Colloid Cysts / complications
  • Colloid Cysts / diagnostic imaging*
  • Colloid Cysts / surgery*
  • Female
  • Follow-Up Studies
  • Headache / diagnostic imaging*
  • Headache / etiology
  • Headache / surgery*
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Retrospective Studies
  • Third Ventricle / diagnostic imaging
  • Third Ventricle / surgery
  • Treatment Outcome
  • Young Adult