title: Full scope of options.
abstract: OBJECTIVE
  The purpose of Clinical Problem Solving articles is to present management challenges to give practicing neurosurgeons insight into how field leaders address these dilemmas. This illustration is accompanied by a brief review of the literature on the topic.
  
  
  METHODS
  The case of a 16-year-old boy presenting with headaches is presented. The patient is found to have a typical colloid cyst at the foramen of Monro. Bilateral ventriculoperitoneal shunt placement had been performed as an initial treatment of the patient before presentation.
  
  
  RESULTS
  Surgeons experienced in open and endoscopic surgery discuss their individual approaches to colloid cysts, in the context of previous shunting, providing a varied perspective on the clinical challenges posed by these lesions.
  
  
  CONCLUSIONS
  Both open and endoscopic options remain viable for excision of a colloid cyst. Each has associated potential complications, as illustrated by the current case.
authors.affiliation: Department of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia 30322, USA. chadjip@emory.edu
authors.forename: Costas G
authors.initials: CG
authors.lastname: Hadjipanayis
authors.forename: Albert J
authors.initials: AJ
authors.lastname: Schuette
authors.forename: Nicholas
authors.initials: N
authors.lastname: Boulis
authors.forename: Charlie
authors.initials: C
authors.lastname: Hao
authors.forename: Daniel L
authors.initials: DL
authors.lastname: Barrow
authors.forename: Charles
authors.initials: C
authors.lastname: Teo
mesh_terms: D000293:Adolescent; D020863:Central Nervous System Cysts / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D056364:Colloid Cysts / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D012086:Reoperation