Evidence map›Paper›PMID 31528441›Full record

ArticleSurgical neurology international2019

The microsurgical management of benign pineal cysts: Helsinki experience in 60 cases.

Joham Choque-Velasquez, Julio C Resendiz-Nieves, Behnam Rezai Jahromi, Roberto Colasanti, Rahul Raj, Kenneth Lopez-Gutierrez, Olli Tynninen, Mika Niemelä, Juha Hernesniemi

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical neurology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Systematic review of pineal cysts surgery in pediatric patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Pooled it
  3. Pineal Cysts: Clinical Insights and Management Strategies.Advances and technical standards in neurosurgery · 2026
    Review
  4. Review
  5. Juha Hernesniemi: A message from overseas aspirants.Surgical neurology international · 2025
    Review
  6. Paediatric pineal region cysts: enigma or impaired neurofluid system?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  7. Article
  8. Management of pineal and colloid cysts.Practical neurology · 2021
    Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Joham Choque-VelasquezDepartments of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Julio C Resendiz-NievesDepartments of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Behnam Rezai JahromiDepartments of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Roberto ColasantiDepartments of Neurosurgery, Umberto I General Hospital, Università Politecnica delle Marche, Ancona.
Rahul RajDepartments of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Kenneth Lopez-GutierrezDepartments of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Olli TynninenDepartment of Pathology, University of Helsinki and HUSLAB, Helsinki University Hospital, Helsinki, Finland.
Mika NiemeläDepartments of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Juha HernesniemiDepartments of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Helsinki University Hospital · FIUniversity of Helsinki · FIHenan Provincial People's Hospital · CNMarche Polytechnic University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMicrosurgical resection represents a well-accepted management option for symptomatic benign pineal cysts. Symptoms such as a headache, hydrocephalus, and visual deficiency are typically associated with pineal cysts. However, more recent studies reported over the past years have characterized additional symptoms as a part of the clinical manifestation of this disease and represent additional indications for intervention.

methodsWe present a retrospective review of patients with histologically confirmed benign pineal cysts that were operated on in our department between 1997 and 2015. A demographic analysis, evaluation of preoperative status, surgical treatment, as well as immediate and long-term clinical and radiological outcomes were conducted.

resultsA total of 60 patients with benign pineal cysts underwent surgery between 1997 and 2015. Gross total resection was achieved in 58 cases. All patients except one improved in their clinical status or had made a full recovery at the time of the last follow-up. The key steps for surgical resection of pineal cysts are reported, based on an analysis of representative surgical videos.

conclusionsWe describe in this paper one of the largest series of microsurgically treated pineal cysts. In our opinion, judicious microsurgery remains the most suitable technique to effectively deal with this disease.

Indexed as

MicroneurosurgeryPineal cystsPineal region lesionsSitting positionSupracerebellar infratentorial approach

Identifiers

PMID31528441
PMCPMC6744767
OpenAlexW2969747369

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.