Clinical management of pineal cysts: a worldwide online survey
Jazyk angličtina Země Rakousko Médium print-electronic
Typ dokumentu časopisecké články, práce podpořená grantem
PubMed
26897024
DOI
10.1007/s00701-016-2726-3
PII: 10.1007/s00701-016-2726-3
Knihovny.cz E-zdroje
- Klíčová slova
- Headache, Management, Neurosurgery, Pineal cyst, Pineal gland,
- MeSH
- cysty centrálního nervového systému psychologie chirurgie MeSH
- dospělí MeSH
- epifýza mozková patologie chirurgie MeSH
- lékařská praxe - způsoby provádění * MeSH
- lidé MeSH
- management nemoci * MeSH
- neurochirurgické výkony metody psychologie MeSH
- neurochirurgové psychologie MeSH
- průzkumy a dotazníky MeSH
- rozhodování MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
BACKGROUND: A pineal cyst is a benign affection of a pineal gland on the borderline between a pathological lesion and a variant of normality. Clinical management of patients with a pineal cyst remains controversial, especially when patients present with non-specific symptoms. METHODS: An online questionnaire consisting of 13 questions was completed by 110 neurosurgeons worldwide. Responses were entered into a database and subsequently analysed. RESULTS: Based on data from the questionnaire, the main indication criteria for pineal cyst resection are hydrocephalus (90 % of the respondents), Parinaud's syndrome (80 %) and growth of the cyst (68 %). Only 15 % of the respondents occasionally operate on patients with non-specific symptoms. If surgery is indicated, improvement is expected in 88 % of the patients. The vast majority of the respondents favour a supracerebellar infratentorial approach to the pineal region. Most (78 %) of the respondents regarded the patient registry as a potentially useful instrument. CONCLUSIONS: This survey sheds light on the current practice of pineal cyst management across the world. Most of the respondents perform surgery on pineal cysts only if patients are presenting with symptoms attributable to a mass effect. Surgery for patients with non-specific complaints (headache, vertigo) is not widely accepted, although it may prove effective. A prospective patient registry might be useful in the decision-making process in the clinical management of pineal cysts.
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