Advanced search
1 file | 240.37 KB

Symptomatic pineal cysts: clinical manifestations and management

(2002) ACTA NEUROCHIRURGICA. 144(3). p.233-242
Author
Organization
Abstract
Between 1991 and 2000, seven patients presented with symptomatic pineal cysts at our hospital (6 females, I male). Average age was 22 years (range 4-33 years), Headache was present in 6 patients, who were subsequently operated on. A scotoma and a transient inferior visual field deficit were minor signs in two patients respectively. A Parinaud syndrome with vertical gaze paralysis was found in none. In one child, paroxysmal pupillary dilatations and contractions ('springing pupils') constituted the only signs and a conservative policy was adopted. Four patients presented with hydrocephalus and were treated by an endoscopic resection of their pineal cysts (one stereotactically, three free-hand). Two other patients presented with a prolonged history of symptoms and signs: headache alone in one, headache with discrete neurological deficits in the other. Ventricles in these two patients were not dilated and therefore an open cyst resection by infratentorial supracerebellar approach was performed. Average follow-up in the six "operated" patients was 29 months (range 12-108 months). All four patients treated by endoscopy, are symptom-free at follow-up, whereas the two who were approached by open surgery, are not. Clinical presentation, radiological evaluation and treatment modalities of pineal cysts are discussed and compared with experiences reported in the literature. It is concluded that pineal cysts in the presence of obstructive hydrocephalus are a clear indication for endoscopy with a rigid endoscope.
Keywords
ASSISTED BRAIN SURGERY, endoscopy, pineal cyst, microsurgery, hydrocephalus, BENIGN GLIAL CYSTS, TECHNICAL CASE-REPORT, LESIONS, 3RD VENTRICLE, GLAND, REGION TUMORS, ENDOSCOPIC NEUROSURGERY, STEREOTAXIC MANAGEMENT, SURGICAL-MANAGEMENT

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 240.37 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Michielsen, G, Yves Benoit, E Baert, Françoise Meire, and Jacques Caemaert. 2002. “Symptomatic Pineal Cysts: Clinical Manifestations and Management.” Acta Neurochirurgica 144 (3): 233–242.
APA
Michielsen, G., Benoit, Y., Baert, E., Meire, F., & Caemaert, J. (2002). Symptomatic pineal cysts: clinical manifestations and management. ACTA NEUROCHIRURGICA, 144(3), 233–242.
Vancouver
1.
Michielsen G, Benoit Y, Baert E, Meire F, Caemaert J. Symptomatic pineal cysts: clinical manifestations and management. ACTA NEUROCHIRURGICA. 2002;144(3):233–42.
MLA
Michielsen, G, Yves Benoit, E Baert, et al. “Symptomatic Pineal Cysts: Clinical Manifestations and Management.” ACTA NEUROCHIRURGICA 144.3 (2002): 233–242. Print.
@article{163983,
  abstract     = {Between 1991 and 2000, seven patients presented with symptomatic pineal cysts at our hospital (6 females, I male). Average age was 22 years (range 4-33 years), Headache was present in 6 patients, who were subsequently operated on. A scotoma and a transient inferior visual field deficit were minor signs in two patients respectively. A Parinaud syndrome with vertical gaze paralysis was found in none. In one child, paroxysmal pupillary dilatations and contractions ('springing pupils') constituted the only signs and a conservative policy was adopted. Four patients presented with hydrocephalus and were treated by an endoscopic resection of their pineal cysts (one stereotactically, three free-hand). Two other patients presented with a prolonged history of symptoms and signs: headache alone in one, headache with discrete neurological deficits in the other. Ventricles in these two patients were not dilated and therefore an open cyst resection by infratentorial supracerebellar approach was performed. Average follow-up in the six "operated" patients was 29 months (range 12-108 months). All four patients treated by endoscopy, are symptom-free at follow-up, whereas the two who were approached by open surgery, are not. Clinical presentation, radiological evaluation and treatment modalities of pineal cysts are discussed and compared with experiences reported in the literature. It is concluded that pineal cysts in the presence of obstructive hydrocephalus are a clear indication for endoscopy with a rigid endoscope.},
  author       = {Michielsen, G and Benoit, Yves and Baert, E and Meire, Françoise and Caemaert, Jacques},
  issn         = {0001-6268},
  journal      = {ACTA NEUROCHIRURGICA},
  keywords     = {ASSISTED BRAIN SURGERY,endoscopy,pineal cyst,microsurgery,hydrocephalus,BENIGN GLIAL CYSTS,TECHNICAL CASE-REPORT,LESIONS,3RD VENTRICLE,GLAND,REGION TUMORS,ENDOSCOPIC NEUROSURGERY,STEREOTAXIC MANAGEMENT,SURGICAL-MANAGEMENT},
  language     = {eng},
  number       = {3},
  pages        = {233--242},
  title        = {Symptomatic pineal cysts: clinical manifestations and management},
  url          = {http://dx.doi.org/10.1007/s007010200031},
  volume       = {144},
  year         = {2002},
}

Altmetric
View in Altmetric
Web of Science
Times cited: