Neuroendoscopic Treatment of Pineal Cysts : A Case Report and Review of the Literature

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  • Hirata Yoko
    Department of Neurosurgery, Fukuoka University, Faculty of Medicine
  • Inoue Tooru
    Department of Neurosurgery, Fukuoka University, Faculty of Medicine
  • Abe Hiroshi
    Department of Neurosurgery, Fukuoka University, Faculty of Medicine
  • Takemoto Koichiro
    Department of Neurosurgery, Fukuoka University, Faculty of Medicine
  • Uda Ken
    Department of Neurosurgery, National Hospital Organization, Kyushu Medical Center
  • Oka Kazunari
    Department of Neurosurgery, Satte General Hospital

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  • 閉塞性水頭症をきたした松果体嚢胞の1例 : 神経内視鏡による嚢胞開放術の有用性

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We reported a case of a symptomatic pineal cyst, which was successfully treated by neuroendoscopy. An 11-year-old girl's, who presented with intermittent headache, MRI showed a pineal cyst and accompanying obstructive hydrocephalus. Neuroendoscopy was used to resect a pineal cyst. Postoperative imaging showed a reduction of the cyst and resolution of the hydrocephalus. Traditionally, symptomatic pineal cysts are managed by open surgery or stereotactic aspiration. Recently, neuroendoscopy has been recommended as a third option. We review the literature and summarize the clinical features, radiological diagnosis, and treatment.

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