Pineal Region Lesions: Management Strategies and Controversial Issues

Provides a unified viewpoint on the various types of lesions encountered in the pineal region, while at the same time offering therapeutic perspectives for each type of lesion

Clarifies controversies subjects in terms of diagnostic, therapy and adjuvant treatment  helping readers select the most relevant aspects for their specific context

Highlights the most practical diagnostic and therapeutic aspects contained in management algorithms based on the type of lesion, so as to offer practicing clinicians the most effective methods to solve certain cases

About this book

Neurosurgical lesions of the pineal region are extremely rare, accounting for roughly 1% of the total number of neurosurgical expansive lesions in modern practice. This book offers an up-to-date review of the relevant literature, combined with the personal perspectives of some highly experienced figures in the field. The book is divided into two main parts, the first of which offers an overview of the pineal region from an anatomic, pathologic, imaging and therapeutic perspective. Special attention is given to surgical approaches to pineal region lesions. Microsurgical techniques are presented, together with detailed indications regarding specific locations of these lesions, specific complications, and controversial aspects concerning some of the approaches. A dedicated chapter addresses endoscopic techniques, their indications and limitations. Adjuvant therapies are also discussed, along with their particular indications and debated aspects.

In turn, the chapters in the second part cover specific lesions such as pineal region tumors, vascular lesions, and cystic and cyst-like lesions. Regarding pineal region tumors, the most frequent pathologies are presented in the most comprehensive and practical manner possible, with special attention to the appropriate therapeutic management for each type. Further, there is a dedicated chapter on pineal region cysts. Given its depth of content, the book will allow neurosurgeons and specialists to greatly expand their understanding of pineal region lesions in daily clinical practice.

Table of contents (27 chapters)

Historical Landmarks in Pineal Region Surgery

Pages 3-6

Florian, Ioan Stefan (et al.)

Pineal Region Anatomy

Pages 7-17

González-López, Pablo (et al.)

Histopathology of the Pineal Region Tumors

Pages 19-26

Susman, Sergiu (et al.)

Clinical Presentation

Pages 27-32

Major, Zoltan Zs.

Imaging Diagnosis

Pages 33-43

Pleş, Horia

The Usefulness of Biomarkers for Diagnosis

Pages 45-49

Teodorescu, Patric (et al.)

Surgical Adjuvants for the Pineal Region Approach

Pages 51-58

Paternó, Vincenzo

A Supracerebellar-Infratentorial Approach in Pineal Region Lesions

Pages 61-77

Beneš, Vladimir (et al.)

The Suboccipital Transtentorial Approach: How and Why We Do It—the Lyon Experience

Pages 79-90

Mottolese, Carmine (et al.)

The Transcallosal Approach to Pineal Region Lesions

Pages 91-99

Rotim, Krešimir (et al.)

Endoscopic Approach for Pineal Region Lesions

Pages 101-109

Stoica, Sergiu (et al.)

Management of Hydrocephalus

Pages 111-116

Stan, Horaţiu (et al.)

Radiosurgery

Pages 119-126

Stoica, Fery

Other Radiotherapeutic Techniques

Pages 127-130

Cernea, Dana Michaela

Chemotherapy

Pages 131-134

Aldea, Mihaela (et al.)

Tumors of Pineal Cell Origin

Pages 137-143

Volovici, Victor (et al.)

Tumors of Germ Cell Origin

Pages 145-157

Taylor, Douglas R. (et al.)

Tumors of Glial Origin

Pages 159-167

Florian, Ioan Stefan (et al.)

Meningiomas of the Pineal Region

Pages 169-175

Ungureanu, Gheorghe (et al.)

Metastatic Tumors

Pages 177-182

Kamp, Marcel A. (et al.)

Arteriovenous Malformations of the Pineal Region: Management and Controversies

Pages 185-195

Florian, Ioan Alexandru (et al.)

Cavernous Malformations of the Pineal Region: Overview, Management, and Controversies

Pages 197-212

Bertalanffy, Helmut (et al.)

Vein of Galen Aneurysmal Malformation

Pages 213-227

Brassel, Fiedhelm (et al.)

Pineal Epidermoid and Dermoid Cysts of the Pineal Region

Pages 231-237

El Abbadi, Najia (et al.)

Pineal Cysts

Pages 239-243

Bălașa, Adrian (et al.)

Management Algorithm in Pineal Lesions

Pages 247-257

Matei, Claudiu (et al.)

Conclusions

Pages 259-260

Florian, Ioan Stefan