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Comment on - "Pineal cysts without hydrocephalus: microsurgical resection via an infratentorial-supracerebellar approach-surgical strategies, complications, and their avoidance".
Neurosurg Rev
October 2024
Lab in Biotechnology and Biosignal Transduction, Department of Orthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, TN, 600 077, India.
Article Synopsis
- - The study examines 73 patients who had microsurgical resection of pineal cysts using an infratentorial-supracerebellar approach, highlighting surgical methods, complications, and patient outcomes.
- - Of those studied, 89% experienced significant symptom relief (especially from headaches, visual disturbances, and dizziness) after an average follow-up of 26.6 months.
- - The research indicates that complete cyst removal was successful in 95% of cases with few complications, suggesting microsurgery can benefit certain patients, and calls for future studies on comparing surgical versus conservative treatments and assessing long-term results.
A Rare Case of Intracranial Growing Teratoma Syndrome in a Young Adult.
Brain Tumor Res Treat
July 2024
Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Intracranial growing teratoma syndrome (iGTS) is a rare phenomenon in patients with non-germinomatous germ cell tumor (NGGCT) after chemotherapy or radiotherapy. It manifests as paradoxical growth of teratomatous components, with multiple cystic lesions on cranial imaging despite normalized tumor markers. This paper presents a 22-year-old male with iGTS, diagnosed one month after chemotherapy against NGGCT.
View Article and Find Full Text PDFThe occipital interhemispheric transtentorial approach: historical perspective and evolution over time.
Childs Nerv Syst
August 2024
Division of Pediatric Neurosurgery, Department of Surgery, Texas Children's Hospital, Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Purpose: Access to the pineal region has always represented a fascinating challenge to the neurosurgeons. Almost equally thrilling is the historical evolution from the hard beginnings with extremely high mortality rates to the current surgical outcomes, with excellent resection rates without long-term morbidity for most of the patients. The purpose of this paper is to provide an overview of the historical evolution of the occipital interhemispheric transtentorial (OITT) approach and its role in the development of access to the pineal region.
View Article and Find Full Text PDFClinical effects of neuroendoscopic infratentorial supracerebellar approach surgical technique for resecting pineal tumors: a retrospective study.
Neurochirurgie
September 2024
Department of Neurosurgery, Second Hospital of Lanzhou University, Lanzhou 730030, China. Electronic address:
Article Synopsis
- Pineal tumors are rare brain growths, mostly found in kids, and this article studies a special surgical method to remove them.
- The study looked at nine patients who had surgery using a technique called neuroendoscopy to take out tumors from the pineal area between 2017 and 2023.
- After the surgeries, all patients were okay, with no tumors coming back, although some had minor vision and walking problems; but they all lived normal lives after a few years.
The occipital interhemispheric transtentorial approach in infants and toddlers: efficacy and complications.
Childs Nerv Syst
August 2024
Division of Pediatric Neurosurgery, Department of Surgery, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Introduction: Outcomes for pineal region and superior cerebellar tumors in young children often hinge on extent of microsurgical resection, and thus choosing an approach that provides adequate visualization of pathology is essential. The occipital interhemispheric transtentorial (OITT) approach provides excellent exposure while minimizing cerebellar retraction. However, this approach has not been widely accepted as a viable option for very young children due to concerns for potential blood loss when incising the tentorium.
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