Is surgery for pineal cysts safe and effective? Short review
Jazyk angličtina Země Německo Médium print-electronic
Typ dokumentu časopisecké články, přehledy
Grantová podpora
15-32791A
Ministerstvo Zdravotnictví Ceské Republiky
Q25/LF1/2
Grantová Agentura, Univerzita Karlova
MO 1012NK
Ministry of National Defense, czech republic
PubMed
28702847
DOI
10.1007/s10143-017-0876-2
PII: 10.1007/s10143-017-0876-2
Knihovny.cz E-zdroje
- Klíčová slova
- Headache, Hydrocephalus, Neuroendoscopy, Neurosurgery, Pineal cyst, Stereotactic biopsy,
- MeSH
- cysty centrálního nervového systému chirurgie MeSH
- epifýza mozková * MeSH
- lidé MeSH
- nádory mozku chirurgie MeSH
- pooperační komplikace epidemiologie MeSH
- výběr pacientů MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
In this short review, the authors performed a database search and summarize current knowledge of the management of patients with pineal cysts (PCs) and investigate the role of surgical treatment. The scientific literature on the surgical treatment of PCs is sparse and encompasses only case series with little over 200 operated patients combined. All included papers reported favorable results after pineal cyst surgery with improvement of symptoms in most patients. Microsurgical resection of PCs, preferably using the supracerebellar-infratentorial approach, could be considered as a viable treatment option in symptomatic patients. Even patients with non-specific symptoms are reported to improve after surgery. However, evidence offered by this literature review is very limited and therefore our conclusions must be tempered by the restricted set of data. For ethical reasons, a randomized controlled trial is not an acceptable approach, and therefore patient registry could be a useful tool to identify a subset of symptomatic patients that might benefit from pineal cyst resection.
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