ArticleActa neurochirurgica2020
Endoscopic management of pineal cyst-associated aqueductal stenosis.
Article in Acta neurochirurgica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Surgical treatment of symptomatic pineal cysts without hydrocephalus-meta-analysis of the published literature.Acta neurochirurgica · 2022Pooled it
- Pineal cyst surgery beyond morphology: a critical evaluation of a consecutive surgical series.Acta neurochirurgica · 2026Article
- Symptomatic Pineal Cysts Without Ventricular Enlargement: Diagnosis and Treament.Deutsches Arzteblatt international · 2025Review
- Exclusively endoscopic management of complicated pineal cysts in young children: Definitive treatment through single burr-hole technique.Surgical neurology international · 2022Article
- Pineal cyst management: A single-institution experience spanning two decades.Surgical neurology international · 2022Article
- Surgical strategy for symptomatic pineal cyst: is endoscopit third ventriculostomy necessary in addition to cyst fenestration?Nagoya journal of medical science · 2021Article
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1 author at 1 institution in 1 country.
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Abstract
objectThe purpose of this study was to evaluate whether endoscopic third ventriculostomy (ETV) and endoscopic cyst fenestration are effective minimally invasive alternatives to a craniotomy with cyst resection for the treatment of symptomatic pineal cyst-associated aqueductal stenosis.
methodsSixteen patients with symptomatic pineal cysts were operatively managed endoscopically and these cases were retrospectively reviewed. There were 12 females and 4 males. The median age at the time of surgery was 31 years (range 3 to 62 years).
resultsAll patients presented with symptoms and imaging consistent with elevated intracranial pressure. The median maximum cyst diameter was 15 mm (range 10 mm to 27 mm). In all cases, there was mass effect on the tectum that resulted in effacement of the cerebral aqueduct and ventriculomegaly was present in 38% of cases. ETV was performed in 15 patients. Cyst fenestration was performed in 2 patients, one of which also had an ETV. Resolution of symptoms was achieved in 81% of patients with a median follow-up of 13 months.
conclusionThis study showed that ETV is effective for symptomatic pineal cyst-associated aqueductal stenosis. Patients can be symptomatic without overt ventriculomegaly and normal ventricular volume does not preclude safe endoscopic management. Endoscopic cyst fenestration is recommended if a Perinaud syndrome is present or if ETV is not feasible.
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