The microsurgical management of benign pineal cysts: Helsinki experience in 60 cases

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http://hdl.handle.net/10138/312439

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Choque-Velasquez , J , Resendiz-Nieves , J C , Rezai Jahromi , B , Colasanti , R , Raj , R , Lopez-Gutierrez , K , Tynninen , O , Niemelä , M & Hernesniemi , J 2019 , ' The microsurgical management of benign pineal cysts: Helsinki experience in 60 cases ' , Surgical Neurology International , vol. 10 , 103 . https://doi.org/10.25259/SNI-180-2019

Title: The microsurgical management of benign pineal cysts: Helsinki experience in 60 cases
Author: Choque-Velasquez, Joham; Resendiz-Nieves, Julio C.; Rezai Jahromi, Behnam; Colasanti, Roberto; Raj, Rahul; Lopez-Gutierrez, Kenneth; Tynninen, Olli; Niemelä, Mika; Hernesniemi, Juha
Contributor organization: Clinicum
HUS Neurocenter
Neurokirurgian yksikkö
University of Helsinki
Helsinki University Hospital Area
Medicum
HUSLAB
Department of Pathology
Department of Neurosciences
Date: 2019-06-19
Language: eng
Number of pages: 13
Belongs to series: Surgical Neurology International
ISSN: 2152-7806
DOI: https://doi.org/10.25259/SNI-180-2019
URI: http://hdl.handle.net/10138/312439
Abstract: Background: Microsurgical resection represents a well-accepted management option for symptomatic benign pineal cysts. Symptoms such as a headache, hydrocephalus, and visual deficiency are typically associated with pineal cysts. However, more recent studies reported over the past years have characterized additional symptoms as a part of the clinical manifestation of this disease and represent additional indications for intervention. Methods: We present a retrospective review of patients with histologically confirmed benign pineal cysts that were operated on in our department between 1997 and 2015. A demographic analysis, evaluation of preoperative status, surgical treatment, as well as immediate and long-term clinical and radiological outcomes were conducted. Results: A total of 60 patients with benign pineal cysts underwent surgery between 1997 and 2015. Gross total resection was achieved in 58 cases. All patients except one improved in their clinical status or had made a full recovery at the time of the last follow-up. The key steps for surgical resection of pineal cysts are reported, based on an analysis of representative surgical videos. Conclusions: We describe in this paper one of the largest series of microsurgically treated pineal cysts. In our opinion, judicious microsurgery remains the most suitable technique to effectively deal with this disease.
Subject: Microneurosurgery
Pineal region lesions
Sitting position
Supracerebellar infratentorial approach
Pineal cysts
3112 Neurosciences
3124 Neurology and psychiatry
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Rights: unspecified
Usage restriction: openAccess
Self-archived version: publishedVersion


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