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Pineal epidermoid cysts: diagnosis and management.

A N Konovalov1, A Spallone, D I Pitzkhelauri

  • 1Institute of Neurosurgery N.N. Burdenko, Moscow, Russia.

Journal of Neurosurgery
|September 2, 1999
PubMed
Summary

Surgical outcomes for pineal region epidermoid cysts can be excellent. Extensive tumor removal via supracerebellar or occipital-transtentorial approaches is key for successful treatment.

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Area of Science:

  • Neurosurgery
  • Neuropathology

Background:

  • Epidermoid cysts in the pineal region are rare intracranial tumors.
  • Surgical management presents unique challenges due to the critical anatomical location.

Purpose of the Study:

  • To present the surgical treatment outcomes for six patients with pineal region epidermoid cysts.
  • To evaluate the efficacy of different surgical approaches for these tumors.

Main Methods:

  • Retrospective analysis of six patients treated between 1976 and 1995.
  • Diagnostic imaging included CT and MRI.
  • Surgical approaches utilized were infratentorial-supracerebellar and occipital-transtentorial.

Main Results:

  • Patients presented with symptoms including headache, diplopia, and vertigo.
  • Neurological findings commonly included papilledema and ataxia.
  • Both surgical approaches were employed, with the occipital-transtentorial approach used more frequently.

Conclusions:

  • Extensive surgical resection is crucial for favorable outcomes.
  • Both the supracerebellar and occipital-transtentorial approaches can achieve excellent results.
  • Complete removal of pineal epidermoid cysts leads to optimal surgical results.

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