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Exclusively endoscopic management of complicated pineal cysts in young children: Definitive treatment through single burr-hole technique

BACKGROUND: The management of complicated symptomatic pineal cysts in the pediatric population is challenging and variable. Surgical management may include treatment of hydrocephalus alone, or direct treatment of the cyst with or without direct hydrocephalus management. This is typically done throug...

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Autores principales: Hanna, Baher, Robinson, Michael W., Skoch, Jesse
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9282818/
https://www.ncbi.nlm.nih.gov/pubmed/35855169
http://dx.doi.org/10.25259/SNI_302_2022
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author Hanna, Baher
Robinson, Michael W.
Skoch, Jesse
author_facet Hanna, Baher
Robinson, Michael W.
Skoch, Jesse
author_sort Hanna, Baher
collection PubMed
description BACKGROUND: The management of complicated symptomatic pineal cysts in the pediatric population is challenging and variable. Surgical management may include treatment of hydrocephalus alone, or direct treatment of the cyst with or without direct hydrocephalus management. This is typically done through craniotomy-based microsurgical approaches to the pineal region or an endoscopic transventricular approach. METHODS: We present a stepwise minimally invasive technique to treat complicated pineal cysts in young children associated with an obstructive hydrocephalus in a single procedure through third ventriculostomy combined with an intraventricular marsupialization of the pineal cyst through a single burr-hole using stereotactic navigation. RESULTS: Two young patients with over 2 years of follow-up have done well without complication using this technique. Other literature reports for complex pineal cysts in pediatric patients are reviewed and this technique is not previously described for this population. CONCLUSION: Endoscopic third ventriculostomy and cyst marsupialization using a single burr-hole and stereotactic navigation for symptomatic or enlarging pineal cysts in children allow for minimally invasive management, a rapid recovery, short hospital stay, and durable outcome owed to redundant CSF flow pathways.
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spelling pubmed-92828182022-07-18 Exclusively endoscopic management of complicated pineal cysts in young children: Definitive treatment through single burr-hole technique Hanna, Baher Robinson, Michael W. Skoch, Jesse Surg Neurol Int Original Article BACKGROUND: The management of complicated symptomatic pineal cysts in the pediatric population is challenging and variable. Surgical management may include treatment of hydrocephalus alone, or direct treatment of the cyst with or without direct hydrocephalus management. This is typically done through craniotomy-based microsurgical approaches to the pineal region or an endoscopic transventricular approach. METHODS: We present a stepwise minimally invasive technique to treat complicated pineal cysts in young children associated with an obstructive hydrocephalus in a single procedure through third ventriculostomy combined with an intraventricular marsupialization of the pineal cyst through a single burr-hole using stereotactic navigation. RESULTS: Two young patients with over 2 years of follow-up have done well without complication using this technique. Other literature reports for complex pineal cysts in pediatric patients are reviewed and this technique is not previously described for this population. CONCLUSION: Endoscopic third ventriculostomy and cyst marsupialization using a single burr-hole and stereotactic navigation for symptomatic or enlarging pineal cysts in children allow for minimally invasive management, a rapid recovery, short hospital stay, and durable outcome owed to redundant CSF flow pathways. Scientific Scholar 2022-07-01 /pmc/articles/PMC9282818/ /pubmed/35855169 http://dx.doi.org/10.25259/SNI_302_2022 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Hanna, Baher
Robinson, Michael W.
Skoch, Jesse
Exclusively endoscopic management of complicated pineal cysts in young children: Definitive treatment through single burr-hole technique
title Exclusively endoscopic management of complicated pineal cysts in young children: Definitive treatment through single burr-hole technique
title_full Exclusively endoscopic management of complicated pineal cysts in young children: Definitive treatment through single burr-hole technique
title_fullStr Exclusively endoscopic management of complicated pineal cysts in young children: Definitive treatment through single burr-hole technique
title_full_unstemmed Exclusively endoscopic management of complicated pineal cysts in young children: Definitive treatment through single burr-hole technique
title_short Exclusively endoscopic management of complicated pineal cysts in young children: Definitive treatment through single burr-hole technique
title_sort exclusively endoscopic management of complicated pineal cysts in young children: definitive treatment through single burr-hole technique
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9282818/
https://www.ncbi.nlm.nih.gov/pubmed/35855169
http://dx.doi.org/10.25259/SNI_302_2022
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