Meningioma of the pineal region

Abstract

Meningiomas rarely occur in the pineal region, but they can reach huge diameters. We presented the case of a patient with a very large meningioma of the pineal region (6x5x4 cm). The tumor, developed from the falcotentorial junction, was totally removed via an occipital interhemispheric transtentorial approach with minimal postoperative neurological deficits. The postoperative course was complicated with an acute internal hydrocephalus that needed temporary placement of an external ventricular drainage. The supratentorial surgical corridors allow for increased exposure and are best suited for falcotentorial meningiomas.

Removal of pineal region teratomas using occipital transtentorial approach (OTA) technique: Case report and literature review

“…Based on the literature review [ [15] , [16] , [17] , [18] , [19] ], the age of patients with a mass in the pineal region varies from 7 to 68 years. In the literature findings ( Table 1 ), 5 ​​out of 11 case reports indicate headache complaints, whereas somnolence complaints are only found in 2 of 11 cases.…”

“…No neurological deficits Gd-enhanced MRI demonstrated a large mass in the pineal region. 0 30 mm in maximal diameter NA meningioma total resection no postoperative complications NA NA NA NA Radoi et al, 2012 [ 18 ] 67 M 52 weeks headache and deficits in memory, diplopia, spontaneous tremor in the right hand Cerebral CT-scan examination showed a well circumscribed tumor located periventricular in the pineal region 1 6 × 5 × 4 cm stereotactic biopsy Meningioma gross total resection NA NA NA Yes NA Tanikawa et al, 2019. [ 19 ] 10 M NA Headache NA 1 35 mm Biopsy immature teratomas gross total resection None NA Yes Yes NA Tanikawa et al, 2019.…”

Fedor Krause (1857-1937): the father of German neurosurgery

“…In 1913 he conducted a resection of a pineal tumor through an infratentorial supracerebellar approach which he patented in neurosurgery and which would bear his name (2,27,29). Krause also had a contribution in vascular neurosurgery, being the first neurosurgeon who operated cerebral angiomas.…”