{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T09:19:11Z","timestamp":1770887951439,"version":"3.50.1"},"reference-count":35,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1999,9]]},"abstract":"<jats:p content-type=\"fine-print\"><jats:italic>Object.<\/jats:italic> The results of surgical treatment of epidermoid cysts of the pineal region in six cases are presented.<\/jats:p><jats:p content-type=\"fine-print\"><jats:italic>Methods.<\/jats:italic> Six patients with pineal epidermoid cysts underwent surgery at the Institute of Neurosurgery \u201cN. N. Burdenko,\u201d in Moscow, during the period 1976 to 1995. The duration of the patients' preadmission clinical history varied from 6 months to 2 years (average 1.4 years). Headache, diplopia, and vertigo were the most frequently occurring symptoms. Neurological examination demonstrated papilledema, impaired pupillary reaction, ataxia, and long-pathways deficit; Parinaud's syndrome was found in only one case. Computerized tomography and magnetic resonance imaging constituted the primary diagnostic tools. Surgery was performed using either an infratentorial\u2014supracerebellar approach (two cases) or an occipital\u2014transtentorial approach (four cases).<\/jats:p><jats:p content-type=\"fine-print\"><jats:italic>Conclusions.<\/jats:italic> Surgical results can be excellent if a removal, as extensive as possible, is performed using either the supracerebellar or occipital\u2014transtentorial approach.<\/jats:p>","DOI":"10.3171\/jns.1999.91.3.0370","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T17:21:15Z","timestamp":1242235275000},"page":"370-374","source":"Crossref","is-referenced-by-count":32,"title":["Pineal epidermoid cysts: diagnosis and management"],"prefix":"10.3171","volume":"91","author":[{"given":"Alexander Nikolaevich","family":"Konovalov","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aldo","family":"Spallone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Ilich","family":"Pitzkhelauri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Ann Neurol","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1002\/ana.410020504","article-title":"Growth rates of epidermoid tumors.","volume":"2","author":"Alvord","year":"1977"},{"key":"b2","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1016\/0090-3019(88)90161-9","article-title":"Three-quarter prone approach to the pineal-tentorial region.","volume":"29","author":"Ausman","year":"1988"},{"key":"b3","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"214","DOI":"10.3171\/jns.1985.62.2.0214","article-title":"Epidermoid cysts of the posterior fossa.","volume":"62","author":"Berger","year":"1985"},{"key":"b4","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1007\/BF00339561","article-title":"NMR imaging of congenital intracranial germinal layer neoplasms.","volume":"27","author":"Davidson","year":"1985"},{"key":"b5","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1097\/00006123-199304000-00026","article-title":"Hearing impairment resulting from a pineal region meningioma.","volume":"32","author":"DeMonte","year":"1993"},{"key":"b6","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1007\/BF00328379","article-title":"Radiodiagnosis of intracranial pearly tumours with particular reference to the value of computer tomography.","volume":"11","author":"Fawcitt","year":"1976"},{"key":"b7","series-title":"Surg Neurol","first-page":"178","article-title":"Epidermoid cysts of the fourth ventricle.","volume":"29","author":"Fiume","year":"1985"},{"key":"b8","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"190","DOI":"10.3171\/jns.1950.7.3.0190","article-title":"Epidermoids: clinical evaluation and surgical results.","volume":"7","author":"Grant","year":"1950"},{"key":"b9","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"12","DOI":"10.3171\/jns.1977.47.1.0012","article-title":"Epidermoid and dermoid cysts. 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