Transcallosal interforniceal approach to pineal region tumors in 150 children

Jia, Wenqing; Ma, Zhenyu; Liu, Isabelle Yisha; Zhang, Yuqi; Jia, Ge; Wan, Weiqing

doi:10.3171/2010.10.peds0976

Cited by 48 publications

(24 citation statements)

References 26 publications

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“…5,6 Contrary to previous suggestions that Parinaud's syndrome resolves quickly following treatment, we found that persistent posttreatment visual morbidity is common. 4 At the time of the last ophthalmological assessment, 76% of patients showed some lasting ocular mobility disturbance, with 62% having partial Parinaud's syndrome.…”

Section: Discussioncontrasting

confidence: 99%

“…The series by Jia et al does not provide sufficient detail to comment on the morbidity of the transcallosal interforniceal approach. 6 This report has several limitations. This is a retrospective review of patients with pineal region tumors who were fully managed and followed at British Columbia's Children's Hospital.…”

Section: Discussionmentioning

confidence: 89%

“…Jia et al 6 reported their experience with applying the transcallosal interforniceal approach to the pineal region. Parinaud's syndrome (the components were not specified) was present in 45 of 150 pediatric patients postoperatively, which resolved in 31 patients within 6 months.…”

Section: Discussionmentioning

confidence: 99%

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Ophthalmological outcomes of patients treated for pineal region tumors

Hankinson¹,

Lyons

Hukin

et al. 2016

PED

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OBJECTIVE The ophthalmological outcomes of children treated for pineal tumors have received limited attention in the literature. METHODS This paper reviews the outcomes of 29 children treated for pineal and posterior third ventricular tumors in the contemporary era using chemotherapy, radiotherapy, and resection as defined by the histology and/or marker profile of the tumor. RESULTS At the time of diagnosis, all patients except 1 had hydrocephalus and all had ophthalmological involvement. Papilledema was found in 69% of patients. Seventy-five percent of patients had partial or complete Parinaud's syndrome, and diplopia or blurred vision was noted in the remaining patients. Visual acuity was impaired in 8 patients. Outcomes were dependent on the histology of the tumor and the treatment required. Those patients who did not requiring resection showed a lower rate of ophthalmological worsening during treatment and greater long-term improvement, in particular with respect to up-gaze palsy. Patients who underwent resection for postchemotherapy residual disease or primary resection showed greater worsening during treatment and lesser degrees of recovery. All patients with impaired visual acuity improved with treatment. CONCLUSIONS As the mortality of germ cell and other pineal tumors decreases, posttreatment morbidity remains, specifically that related to convergence nystagmus, accommodation, and diplopia. In addition to survival, ophthalmological morbidity should be reported in studies concerning the outcomes of treatment for pineal neoplasms.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 89%

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Ophthalmological outcomes of patients treated for pineal region tumors

Hankinson¹,

Lyons

Hukin

et al. 2016

PED

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“…Pineal region tumours accounted for 0.6-0.9% in North America and Europe whereas they represented 3%-3.2% in Japan and in Southeast Asia and 3% in China [21] (Table 2).…”

Section: Data From the Literature Regarding The Incidence Of Pineal Rmentioning

confidence: 97%

Incidence of pineal tumours. A review of the literature

2015

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“…The cerebellopontine and parasellar cisterns are the most common locations (4). However, the pineal region is an extremely rare site for epidermoid tumors to occur (11,12,15,17,25 Epidermoid tumors are inclusion tumors of the central nervous system. They are thought to originate from ectodermal cells misplaced during the division of the neural and cutaneous ectoderm during the third or fourth week of intrauterine development (3,8,32).…”

Section: Discussionmentioning

confidence: 99%

Pineal epidermoid tumors – report of five cases

Dinç

İplikçioğlu²,

Özek³

2012

Turkish Neurosurgery

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AIm: The aim of this study was to retrospectively analyse the clinical, radiological features and surgical outcome of pineal epidermoid tumors treated at a single neurosurgical department. mAterIAl and methOds: We performed surgery on five patients with pineal region epidermoid tumors at a single neurosurgical department between the years 1998 and 2006. Headache, diplopia and ataxia were the most common presenting findings. Parinaud's syndrome was found in three patients. Hydrocephalus was demonstrated radiologically in two patients.results: Two patients were operated on with the occipital-transtentorial approach, two were operated on with the infratentorialsupracerebellar approach and one was operated on with van Wagenen's approach. Recurrence of tumor was observed in one patient. One patient died at the first postoperative month due to ventriculitis. BulGulAr: İki hasta oksipital-transtentoryal yaklaşımla, iki hasta infratentoryal-supraserebellar yaklaşımla ve bir hasta van Wagenen yaklaşımı ile ameliyat edildi. Tümör nüksü bir hastada görüldü. Bir hasta ventrikülit nedeniyle postoperatif birinci ayda kaybedildi. sOnuÇ: Epidermoid tümörlerin total çıkarılması klinik iyileşme sağlayabilir ve nüks ve şant yerleştirilmesi olasılığını azaltabilir.

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Transcallosal interforniceal approach to pineal region tumors in 150 children

Cited by 48 publications

References 26 publications

Ophthalmological outcomes of patients treated for pineal region tumors

Ophthalmological outcomes of patients treated for pineal region tumors

Incidence of pineal tumours. A review of the literature

Pineal epidermoid tumors – report of five cases

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