Evidence map›Paper›PMID 32691194›Full record

SynthesisChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2020

Systematic review of pineal cysts surgery in pediatric patients.

Joham Choque-Velasquez, Roberto Colasanti, Szymon Baluszek, Julio Resendiz-Nieves, Sajjad Muhammad, Christopher Ludtka, Juha Hernesniemi

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 22% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Pilocytic astrocytoma surgery via the pineal region in a 9-year-old boy via the infratentorial-supracerebellar approach.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  4. Article
  5. Article
  6. Supracerebellar highway-fast and safe road to pediatric pineal tumor resection.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  7. Article
  8. aXonica: A support package for MRI based Neuroimaging.Biotechnology notes (Amsterdam, Netherlands) · 2024
    Article
  9. Pineal cysts in children: a paediatric series treated over the last twenty years in Lyon.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  10. Review
  11. Review
  12. Management of pineal and colloid cysts.Practical neurology · 2021
    Review
  13. Review
  14. 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

7 authors at 4 institutions in 6 countries.

Joham Choque-VelasquezDepartment of Neurosurgery, University of Helsinki and Helsinki University Hospital Helsinki, Helsinki, Finland. johchove@hotmail.com.ORCID 0000-0001-5220-1216
Roberto ColasantiDepartment of Neurosurgery, Umberto I General Hospital, Università Politecnica delle Marche, Ancona, Italy.
Szymon BaluszekLaboratory of Molecular Neurobiology, Nencki Institute of Experimental Biology, Warsaw, Poland.
Julio Resendiz-NievesDepartment of Neurosurgery, University of Helsinki and Helsinki University Hospital Helsinki, Helsinki, Finland.
Sajjad MuhammadDepartment of Neurosurgery, University of Helsinki and Helsinki University Hospital Helsinki, Helsinki, Finland.
Christopher LudtkaDepartment of Biomedical Engineering, University of Florida, Florida, USA.
Juha HernesniemiDepartment of Neurosurgery, University of Helsinki and Helsinki University Hospital Helsinki, Helsinki, Finland.
University of Helsinki · FIInstytut Biologii Doświadczalnej im. Marcelego Nenckiego · PLMarche Polytechnic University · ITUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe present a consecutive case series and a systematic review of surgically treated pediatric PCs. We hypothesized that the symptomatic PC is a progressive disease with hydrocephalus at its last stage. We also propose that PC microsurgery is associated with better postoperative outcomes compared to other treatments.

methodsThe systematic review was conducted in PubMed and Scopus. No clinical study on pediatric PC patients was available. We performed a comprehensive evaluation of the available individual patient data of 43 (22 case reports and 21 observational series) articles.

resultsThe review included 109 patients (72% females). Ten-year-old or younger patients harbored smaller PC sizes compared to older patients (p < 0.01). The pediatric PCs operated on appeared to represent a progressive disease, which started with unspecific symptoms with a mean cyst diameter of 14.5 mm, and progressed to visual impairment with a mean cyst diameter of 17.8 mm, and hydrocephalus with a mean cyst diameter of 23.5 mm in the final stages of disease (p < 0.001). Additionally, 96% of patients saw an improvement in their symptoms or became asymptomatic after surgery. PC microsurgery linked with superior gross total resection compared to endoscopic and stereotactic procedures (p < 0.001).

conclusionsSurgically treated pediatric PCs appear to behave as a progressive disease, which starts with cyst diameters of approximately 15 mm and develops with acute or progressive hydrocephalus at the final stage. PC microneurosurgery appears to be associated with a more complete surgical resection compared to other procedures.

Indexed as

Brain NeoplasmsCentral Nervous System CystsCystsPineal GlandChildFemaleHumansMaleMicrosurgeryMicroneurosurgeryPineal cystsSitting positionSupracerebellar infratentorial approach

Identifiers

PMID32691194
PMCPMC7649165
OpenAlexW3044092807

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.