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A 51-year-old woman arrived unconscious with sudden severe headache, vomiting, and vision dimming. An urgent CT revealed a colloid cyst in the third ventricle—small in size but capable of acutely blocking CSF flow and causing life-threatening pressure (acute hydrocephalus). In this video, Dr Raghvendra Ramdasi explains: • What a colloid cyst is (jelly-like sac in the third ventricle) and why it’s dangerous. • Classic red flags: sudden headache, repeated vomiting, drowsiness/fainting, rapid visual decline. • Why this is a surgical emergency, and how urgent endoscopic removal can be curative. Outcome: The patient opened eyes and followed commands soon after surgery. Key message: Sudden “out-of-the-blue” headache with vomiting or drowsiness = ER now and neurosurgical evaluation. sudden collapse CT finding: third-ventricle colloid cyst What is a colloid cyst? How it blocks CSF → acute hydrocephalus Emergency endoscopic surgery Recovery & prognosis Takeaways: when to rush to hospital colloid cyst, third ventricle, hydrocephalus, neurosurgery, endoscopic brain surgery, thunderclap headache, brain emergency, #Neurosurgery #ColloidCyst #Hydrocephalus #BrainEmergency