Pineal cysts in children: a paediatric series treated over the last twenty years in Lyon,Child's Nervous System

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Pineal cysts in children: a paediatric series treated over the last twenty years in Lyon
Child's Nervous System ( IF 1.3 ) Pub Date : 2023-10-29 , DOI: 10.1007/s00381-023-06181-y
Alexandru Szathmari ₁ , Alexandre Vasiljevic ₂ , Federico Di Rocco _{1,

3} , Pierre-Aurélien Beuriat _{1,

3} , Carmine Mottolese ₁

Affiliation

Background

Pineal cysts are a rare lesion of the pineal gland. Pineal cysts are benign lesions, generally asymptomatic, and are usually an incidental discovery on MRI performed for other problems. The management of pineal cysts in children remains a matter for debate. Here, we report our own retrospective paediatric cases that have been surgically treated and review the paediatric literature on this topic.

Methods

This is a retrospective monocentric study. All patients operated by the senior author (CM) for a benign pineal cyst from 2000 to 2021 were included. All other pineal region cystic lesions were excluded. Medical and surgical data were extracted from the hospital medical database.

Results

Twelve patients were included. The clinical symptomatology was characterized by headaches in seven patients, visual troubles in two patients, precocious puberty in one patient, signs of intracranial hypertension in two patients, seizures associated with headache in one patient, and headaches associated with behavioural troubles in another patient. No major post-operative complications were observed in this series. It is to noted that surgery was performed because a suspicion of a true pineal parenchymal tumour has been made. Histopathological study came back with the diagnosis of pineal cyst.

Conclusions

Pineal cyst is rare. If the radiological diagnosis is clear, no surgery is advocated except in cases associated with hydrocephalus and rapid growth. In case of a suspicion of a true pineal parenchymal tumour, a surgery may be needed to confirm the diagnosis. Lastly, we stress that only cystic lesions of the pineal gland itself should be considered as pineal cyst.

中文翻译：

儿童松果体囊肿：过去二十年来在里昂治疗的儿科系列

背景

松果体囊肿是松果体的一种罕见病变。松果体囊肿是良性病变，通常无症状，通常是针对其他问题进行 MRI 时偶然发现的。儿童松果体囊肿的治疗仍然是一个有争议的问题。在这里，我们报告了我们自己经过手术治疗的回顾性儿科病例，并回顾了有关该主题的儿科文献。

方法

这是一项回顾性单中心研究。包括 2000 年至 2021 年由资深作者 (CM) 因良性松果体囊肿进行手术的所有患者。所有其他松果体区囊性病变均被排除。医疗和手术数据是从医院医疗数据库中提取的。

结果

其中包括十二名患者。临床症状的特点是七名患者出现头痛，两名患者出现视力问题，一名患者出现性早熟，两名患者出现颅内高压症状，一名患者出现与头痛相关的癫痫发作，另一名患者出现与行为问题相关的头痛。在该系列中没有观察到主要的术后并发症。值得注意的是，进行手术是因为怀疑是真正的松果体实质肿瘤。组织病理学研究得出松果体囊肿的诊断结果。