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71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

21.06. - 24.06.2020

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The role of surgery in management of patients with pineal cysts – 25 years of experiences of a single-centre

Die Rolle der Neurochirurgie in der Behandlung von Patienten mit einer Pinealiszyste

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  • presenting/speaker Bedjan Behmanesh - Universitätsklinikum Frankfurt am Main, Neurochirurgie, Frankfurt am Main, Deutschland
  • Lioba Imöhl - Universitätsklinikum Frankfurt am Main, Neurochirurgie, Frankfurt am Main, Deutschland
  • Sae-Yeon Won - Universitätsklinikum Frankfurt am Main, Neurochirurgie, Frankfurt am Main, Deutschland
  • Johanna Quick-Weller - Universitätsklinikum Frankfurt am Main, Neurochirurgie, Frankfurt am Main, Deutschland
  • Florian Geßler - Universitätsklinikum Frankfurt am Main, Neurochirurgie, Frankfurt am Main, Deutschland
  • Volker Seifert - Universitätsklinikum Frankfurt am Main, Neurochirurgie, Frankfurt am Main, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. sine loco [digital], 21.-24.06.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocV215

doi: 10.3205/20dgnc212, urn:nbn:de:0183-20dgnc2129

Published: June 26, 2020

© 2020 Behmanesh et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: Pineal cysts are benign lesions, which mostly remain stable over years. Whether patients should be treated surgically or managed conservatively is still not fully understood. Hence, we report about of our experience, collected over 25 years and analyze the literature focusing on treatment modalities and benefit of surgery.

Methods: We conducted a retrospective study and included all patients treated from 1994 to 2019 in our department. A demographic analysis, radiological findings as well as maximum diameter, preoperative neurological status, duration of surveillance and overall outcome were conducted. Health status, pain level and sleep behavior were assessed prospectively using the EQ-5D 3L, SF -36 questionnaire, analog pain scale and Pittsburgh Sleep Quality Index.

Results: An overall of 97 patients were admitted for consultation and further treatment. Female to male ratio was 2.2 and the mean age was 31.5 years. The mean cyst diameter was 14.3 mm (range 2.1mm–23.1 mm). Only two patients (2.1 %) underwent surgical procedure, consisting of microsurgical cyst resection in one case and shunting in another case. After a mean follow-up time of 61.6 months clinical data represent no impairment of daily practice, work or physical activity. Increase in cyst diameter was seen in two patients. Data evaluating quality of life, pain level and sleep quality was available in 91 (93.4 %) patients and revealed a mean VAS of 1.5, the mean PSQI was 3.8 and EQ VAS of 83.9.

Conclusion: Based on the results of the present data as well as previously published data the indication for surgery should be evaluated very carefully. The "wait and see"-approach was tolerated very well in almost all patients.