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Pineal epidermoid cysts: a study of 24 cases
Ketan I Desai1, Trimurti D Nadkarni, Sudhir C Fattepurkar
1Department of Neurosurgery, King Edward Memorial Hospital, Seth GS Medical College, Parel, Mumbai 400 012, India.
Surgical Neurology
|January 24, 2006
Summary
Radical surgical resection of pineal region epidermoid tumors offers excellent outcomes. This study analyzed 24 cases, demonstrating successful long-term results for these rare brain tumors.
Area of Science:
- Neurosurgery
- Neurology
- Oncology
Background:
- Epidermoid tumors in the pineal region are rare intracranial neoplasms.
- Clinical features and management strategies for these tumors require careful consideration.
Purpose of the Study:
- To analyze the clinical characteristics and surgical management of 24 pineal region epidermoid tumors.
- To evaluate the long-term outcomes following radical surgical resection.
Main Methods:
- Retrospective analysis of 24 patients surgically treated for pineal region epidermoid tumors between 1992 and 2003.
- Utilized infratentorial-supracerebellar and interhemispheric posterior parietooccipital surgical approaches.
- Follow-up duration averaged 5.2 years.
Main Results:
- Patients ranged from 13 to 51 years old, with headache and ataxia as common symptoms.
- Total tumor excision was achieved in 6 patients; subtotal resection in 13.
- Incomplete resection was often due to adherence to vital structures or tumor invasiveness.
Conclusions:
- Radical surgical resection of pineal region epidermoid tumors is associated with excellent immediate postoperative results.
- Long-term outcomes following complete or subtotal resection are favorable, with patients leading active lives.
