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Surg Neurol Int


Headache outcomes after surgery for pineal cyst without hydrocephalus: A systematic review.


Milton CK, Pelargos PE, Dunn IF
Surg Neurol Int. 2020; 11:384.
PMID: 33408918.


Pineal cysts are common entities, with a reported prevalence between 10 and 54%. Management of pineal cysts has historically been expectant, with surgical treatment of these lesions usually reserved for patients with a symptomatic presentation secondary to mass effect. The appropriate management of pineal cysts in patients presenting with headache in the absence of hydrocephalus – often the most common clinical scenario – has been more ambiguous. Here, we report the results of a comprehensive systematic review of headache outcomes for surgically treated, non-hydrocephalic pineal cyst patients without signs of increased intracranial pressure (ICP).