Localization of @entity4890 to the pineal region is rare. The 7-year-old @entity1 now reported presented with an 18-month history of progressive @entity2055 . CT and MRI scans demonstrated a 2.5x2.5 cm cyst at the pineal region with obstructive @entity1276 . At surgery via an occipital transtentorial approach, a @entity5 " was encountered, and complete resection was achieved. We present the management of this @entity1 with pineal region epidermoid cyst and review 11 cases reported in the literature since 1968. In all, 8 of the 12 @entity1 were males. The age at the time of diagnosis ranged from 7 years to 69 years. @entity1319 and @entity1276 are the most common presenting findings. All but 1 @entity1 underwent direct surgical resection; 1 had stereotactic decompression. Surgical treatment brought about complete resolution of the presenting symptoms and signs in 10 of the 12 cases. One @entity1 had persistent upgaze palsy. One @entity1 died from progression of the pineal region mass. This @entity1 presented with @entity1269 , which is a marker of clinical @entity146 . The authors advocate direct surgical attack as opposed to stereotactic diagnosis and aspiration to: (1) obtain maximal resection and thereby limit the potential for recurrence and delayed complications of the cyst; (2) possibly avoid shunt placement in @entity1 who present with @entity1276 ; and (3) decrease the likelihood of sampling error.

XXXX of the pineal region.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'boy', 'child'] @entity4890 :: ('MESH:D004814', 'Disease') :: ['epidermoid cysts'] @entity1276 :: ('MESH:D006849', 'Disease') :: ['hydrocephalus'] @entity146 :: ('MESH:D001523', 'Disease') :: ['aggressiveness'] @entity5 :: ('MESH:D009369', 'Disease') :: ['characteristic "pearly tumour'] @entity1269 :: ('MESH:D010291', 'Disease') :: ['hemiparesis'] @entity1319 :: ('MESH:D015835', 'Disease') :: ["Parinaud's syndrome"] @entity2055 :: ('MESH:D001259', 'Disease') :: ['ataxia']
@entity4890 :: (MESH:D004814,Disease) :: ['Epidermoid cysts']
