Neurológia pre prax 2/2019
A current perspective on diagnosing and treating patients with a pineal cyst
Pineal cysts are benign lesions of the pineal gland whose prevalence in the population reaches as much as 1%. A pineal cyst is most commonly diagnosed on magnetic resonance imaging as a spherical cystic mass dorsally from the third ventricle above the midbrain. The clinical approach to patients with a pineal cyst is very controversial, particularly if they present with nonspecific complaints. In all patients, we consider it important to assure them of a benign nature of their pineal cysts and of a favourable prognosis. The primary therapeutic modality is observation, followed by symptomatic treatment. In a small proportion of patients, surgical treatment can be considered; however, the indication criteria have not been defined clearly.
Keywords: pineal cyst, pineal gland, headaches, sleep, neurosurgery
