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Pineal cysts in children: case-based update
Gokmen Kahilogullari1, Luca Massimi, Concezio Di Rocco
1Department of Neurosurgery, University of Ankara, Ankara, Turkey.
Insights
Pediatric pineal cysts (PC) are typically asymptomatic and stable. However, ongoing monitoring is recommended due to a small risk of progression or sudden symptoms, with surgery reserved for symptomatic cases.
Area of Science:
- Pediatric Neurology
- Neuroimaging
- Cystic Lesions
Background:
- Pineal cysts (PC) are common in children, often asymptomatic.
- Their long-term evolution and management in pediatric patients remain subjects of debate.
Purpose:
Pineal cysts (PC) are found in children as often asymptomatic and without change in their size over the time. However, there are some debatable issues about their evolution and management in the pediatric population. The aim of the present paper is to update the information regarding pathogenesis, clinical presentation, and management of these lesions.
Methods:
All the pertinent literature was reviewed, and a meta-analysis of operated on cases was carried out. An illustrative case regarding the clinical evolution of a 13-year-old girl is also presented.
Results And Conclusions:
PC are often asymptomatic and do not evolve over the time. However, since there is a certain risk of clinical and/or radiological progression, or even sudden and severe clinical onset (apoplexy), both a clinical and radiological follow-up is recommended in the pediatric age. The surgical excision is usually limited to symptomatic patients or to cases with clear radiological evolution.
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