{"id":"5a56baa8-e360-4524-8d21-ecfb3046857d","slug":"functional-status-of-surgically-treated-pineal-cyst-patients","title":"Functional status of surgically treated pineal cyst patients","authors":["Joham Choque-Velasquez","Julio C. Resendiz-Nieves","Szymon Baluszek","Roberto Colasanti","Sajjad Muhammad","Juha Hernesniemi"],"abstract":"Background: Microsurgical removal represents a well-accepted treatment option for symptomatic benign pineal cysts (PCs). However, very few studies have quantitatively evaluated the functional status of surgically treated PC patients. Methods: A detailed analysis of preoperative, immediate postoperative, and long-term clinical and radiological characteristics was performed. The functional status of the patients was categorized using the modified Rankin scale (mRS) and the Chicago Chiari Outcome Scale (CCOS). In addition, a comparative analysis between pediatric and adult patients with PCs was carried out. Results: Overall, pediatric patients experienced better long-term mRS scores than adults. The differences between the pre-, the immediate post-, and the last postoperative mRS of the patients were statistically significant for the total population (P P < 0.01), more frequently reported with the midline supracerebellar infratentorial (SCIT) approach than with its paramedian modification. Conclusion: The functional status of properly selected symptomatic patients with PCs may improve significantly after their surgical management through a paramedian SCIT approach in sitting position.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/5a56baa8-e360-4524-8d21-ecfb3046857d/featured/hero-1781563022521.png","publishDate":"2020-10-29T00:00:00.000Z","doi":"10.25259/SNI_41_2020","categories":["Neuro-oncology","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2020/10/10364/SNI-11-359.pdf"}