Department of Neurosurgery, Pierre Wertheimer Neurological and Neurosurgical Hospital, Hospices Civils de Lyon, University Claude Bernard, Lyon, France,
Acta Neurochir (Wien). 2013 Oct;155(10):1901-5. doi: 10.1007/s00701-013-1849-z. Epub 2013 Aug 22.
The management of pineal cysts is still debatable, especially for asymptomatic incidental ones. For symptomatic cysts associated with hydrocephalus, the surgical management is mandatory and may include either classical microsurgical approaches to the pineal region or endoscopic trans-ventricular approaches in a minimally invasive philosophy.
The authors expose a stepwise technique to treat a pineal cyst associated with an obstructive hydrocephalus in one procedure gathering a third ventriculostomy followed by an intraventricular marsupialisation of the pineal cyst.
This endoscopic approach allows the treatment of the hydrocephalus and the pineal cyst in one short minimally invasive procedure.
松果体囊肿的治疗仍存在争议，特别是对于无症状的偶发性囊肿。对于伴有脑积水的症状性囊肿，手术治疗是强制性的，可能包括经典的经松果体区域显微手术方法或微创理念下的内镜经脑室入路。
作者介绍了一种分步技术，用于在一个程序中治疗与阻塞性脑积水相关的松果体囊肿，该程序包括第三脑室造瘘术，随后对松果体囊肿进行脑室造口术。
这种内镜方法允许在一个简短的微创手术中同时治疗脑积水和松果体囊肿。
