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Updated: Mar 15, 2026
Author Spotlight: A Single-Entry Point Endoscopic Intraventricular Approach for Third Ventriculostomy and Pineal Biopsy
Published on: June 28, 2024
[Haemorrhagic pineal cysts: two clinical cases successfully treated by means of microsurgery]
A Arevalo1, P Pulido-Rivas1, F Gilo-Arrojo2
1Hospital Universitario de la Princesa, 28006 Madrid, Espana.
Introduction:
Pineal cysts are a relatively frequent incidental finding in imaging tests; yet, pineal apoplexy is considered to be rare and is associated to severe symptoms.
Case Reports:
We report the cases of a 25-year-old male and a female aged 15 years who visited the emergency department with signs and symptoms of intracranial hypertension. The existence of a pineal haemorrhage was confirmed by imaging tests. They were successfully treated by means of microsurgery.
Conclusion:
In our experience, and backed by the literature, we believe that the best treatment for this infrequent pathology is the microsurgical approach. Nevertheless, we do not rule out the possibility that, sometime in the future, endoscopic techniques may play an important role in the treatment of pineal apoplexy.
