Pineal cysts: monitoring

Evidence-based neurology checklist on pineal cysts: monitoring: Indications for monitoring Size >14mm Younger patients Abnormal imaging characteristics Some authors suggest monitoring all pineal cysts Red flag features on imaging Outcomes on follow-up

Indications for monitoring

  • Size >14mm
  • Younger patients
  • Abnormal imaging characteristics
  • Some authors suggest monitoring all pineal cysts

Red flag features on imaging

Outcomes on follow-up

References

  1. Choy W, Kim W, Spasic M, Voth B, Yew A, Yang I. Pineal cyst: a review of clinical and radiological features. Neurosurg Clin N Am 2011; 22:341-351.
  2. Cauley KA, Linnell GJ, Braff SP, Filippi CG. Serial follow-up MRI of indeterminate cystic lesions of the pineal region: experience at a rural tertiary case referral center. Am J Roentgenol 2009; 193: 533-537.
  3. Barboriak DP, Lee L, Provenzale JM. Serial MR imaging of pineal cysts: implications for natural history and follow-up. Am J Roentgen 2001; 176:737-744.
  4. Gaillard F, Jones J. Masses of the pineal region: clinical presentation and radiographic features. Postgrad Med J 2010; 86:597-607.
  5. Hayashida Y, Hirai T, Korogi Y, et al. Pineal cystic germinoma with syncitiotrophoblastic giant cells mimicking MR imaging findings of a pineal cyst. Am J Neuroradiol 2004; 25:1538-1540.
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