Pineal epidermoid.

Surg Neurol Int

Department of Neurosurgery, SCB Medical College and Hospital, Cuttack, Odisha, India.

Published: December 2012

AI Article Synopsis

  • Pineal region tumors are rare, making up a small percentage of brain tumors in both adults and children, with epidermoid cysts being particularly uncommon in this area.
  • A specific case of a pineal epidermoid was diagnosed through CT and MRI, leading to a plan for its near-total removal based on its benign characteristics.
  • Most pineal tumors lead to complications like obstructive hydrocephalus, but with careful planning, many benign tumors can be removed successfully, potentially avoiding the need for shunts post-surgery.

Article Abstract

Background: Tumors of pineal region are uncommon, accounting for ≤1% of intracranial tumors in adults and 3-8% of pediatric brain tumors. Epidermoid cysts account for 0.2-1% of all intracranial tumors. The majority occur in and around the cerebellopontine angle and suprasellar area. Getting an epidermoid in pineal region is very rare.

Case Description: We report a case of pineal epidermoid, which was diagnosed correctly as epidermoid depending on computed tomography (CT) and magnetic resonance imaging (MRI) findings. Knowing its benign nature, we accordingly planned for its near-total removal.

Conclusion: Most cases of pineal tumors present as obstructive hydrocephalus. They either require pre- or postoperative ventriculoperitoneal (VP) shunt. If properly planned, many benign pineal tumors may be successfully excised and, most importantly, postoperative VP shunt could be avoided.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3512337PMC
http://dx.doi.org/10.4103/2152-7806.102350DOI Listing

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