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

Introduction

Colloid cysts are histologically benign but can present with a broad spectrum of symptoms but 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 QoL survey (SF-36), 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.

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