The endoscopic intraventricular management of pineal cysts: a minimally invasive modus operandi

Acta Neurochirurgica volume 155, pages1901–1905(2013)Cite this article

Abstract

Background

The management of pineal cysts is still debatable, especially for asymptomatic incidental ones. For symptomatic cysts associated with hydrocephalus, the surgical management is mandatory and may include either classical microsurgical approaches to the pineal region or endoscopic trans-ventricular approaches in a minimally invasive philosophy.

Method

The authors expose a stepwise technique to treat a pineal cyst associated with an obstructive hydrocephalus in one procedure gathering a third ventriculostomy followed by an intraventricular marsupialisation of the pineal cyst.

Conclusion

This endoscopic approach allows the treatment of the hydrocephalus and the pineal cyst in one short minimally invasive procedure.

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References

  1. 1.

    Al Holou WN, Garton HJL, Muraszko KM, Ibrahim M, Maher CO (2009) Prevalence of pineal cysts in children and young adults. Clinical article. J Neurosurg Pediatr 4(3):230–236

    PubMed  Article  Google Scholar 

  2. 2.

    Al Holou WN, Terman SW, Kilburg C, Garton HJL, Muraszko KM, Chandler WF, Ibrahim M, Maher CO (2011) Prevalence and natural history of pineal cysts in adults. J Neurosurg 115(6):1106–1114

    PubMed  Article  Google Scholar 

  3. 3.

    Barboriak DP, Lee L, Provenzale JM (2001) Serial MR imaging of pineal cysts: implications for natural history and follow-up. Am J Roentgenol 176(3):737–743

    Article  CAS  Google Scholar 

  4. 4.

    Cardia A, Caroli M, Pluderi M, Arienta C, Gaini SM, Lanzino G, Tschabitscher M (2006) Endoscope-assisted infratentorial-supracerebellar approach to the third ventricle: an anatomical study. J Neurosurg 104(6 Suppl):409–414

    PubMed  Google Scholar 

  5. 5.

    Choy W, Kim W, Spasic M, Voth B, Yew A, Yang I (2011) Pineal cyst: a review of clinical and radiological features. Neurosurg Clin N Am 22(3):341–351, vii

    PubMed  Article  Google Scholar 

  6. 6.

    Costa F, Fornari M, Valla P, Servello D (2008) Symptomatic pineal cyst: case report and review of the literature. Minim Invasive Neurosurg Min 51(4):231–233

    Article  CAS  Google Scholar 

  7. 7.

    Engel U, Gottschalk S, Niehaus L, Lehmann R, May C, Vogel S, Jänisch W (2000) Cystic lesions of the pineal region–MRI and pathology. Neuroradiology 42(6):399–402

    PubMed  Article  CAS  Google Scholar 

  8. 8.

    Gaab MR, Schroeder HW (1999) Neuroendoscopic approach to intraventricular lesions. Neurosurg Focus 6(4):e5

    PubMed  Article  CAS  Google Scholar 

  9. 9.

    Kennedy BC, Bruce JN (2011) Surgical approaches to the pineal region. Neurosurg Clin N Am 22(3):367–380, viii

    PubMed  Article  Google Scholar 

  10. 10.

    Klein P, Rubinstein LJ (1989) Benign symptomatic glial cysts of the pineal gland: a report of seven cases and review of the literature. J Neurol Neurosurg Psychiatr 52(8):991–995

    PubMed  Article  CAS  Google Scholar 

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Conflicts of interest

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Affiliations

  1. Department of Neurosurgery, Pierre Wertheimer Neurological and Neurosurgical Hospital, Hospices Civils de Lyon, University Claude Bernard, Lyon, France

    Moncef Berhouma, Hongyang Ni & Bernard Vallee

Authors
  1. Moncef Berhouma
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  2. Hongyang Ni
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  3. Bernard Vallee
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Corresponding author

Correspondence to Moncef Berhouma.

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Berhouma, M., Ni, H. & Vallee, B. The endoscopic intraventricular management of pineal cysts: a minimally invasive modus operandi. Acta Neurochir 155, 1901–1905 (2013). https://doi.org/10.1007/s00701-013-1849-z

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Keywords

  • Minimally invasive neurosurgery
  • Endoscopic surgery
  • Pineal cyst
  • Hydrocephalus