The frequency of detection of cystic transformation the pineal gland on the example of the work one MRI cabinet
E. V. Balyazina,
V. A. Baliazin,
E. G. Rud,
I. V. Balyazin-Parfeonov,
N. A. Alekseeva,
H. S. Shamhalov,
A. M. Makarova Abstract
The origin of pineal gland cysts (CSF) remains unclear to date, and the approach to their treatment is debatable. Linear sizes of cysts given in the literature are not comparable. There is also contradictory information about the frequency of CSF both in gender and age aspects. Some authors consider surgical intervention as a method of treating CSF, while others consider them random findings that do not even require dynamic observation.
PURPOSE. To study the frequency of occurrence of CSF according to the results of one MRI cabinet under the condition of natural occurrence of events (case-control).
MATERIAL AND METHODS. 5930 patients were examined, of which 300 had CSF, which was 5.06 % ± 0.56 %. The study was performed on a PhILIPS INTERA 1.5 tesla device, the following modes were used: FLAER_longTR, T1W_ FFE Sag, T2W_TSE Cor, T2W_TSE Tra, T1W_ FFE Tra, DW_SSh Tra. The volume of cysts was calculated by the formula: V=A×B×C×0.52, where A, B and C are the linear dimensions of the cyst.
RESULTS. In all age groups of patients of both sexes, cysts of ultra-small (up to 0.1 cm3) and small (from 0.11 to 0.5 cm3) volumes prevailed. Cysts of medium (from 0.51 cm3 to 1.0 cm3) and large (over 1.0 cm3) volume prevailed in persons of reproductive age and older than 40 years. Cysts with a content density higher than the density of the cerebrospinal fluid, both in women and men, were observed mainly at the reproductive age and over 40 years, although they occurred in the puberty period somewhat more often in boys.
CONCLUSIONS. Patients with medium and large volume cysts need dynamic monitoring. For persons with cystic transformation of the pineal gland, in combination with neurological or endocrine insufficiency, it is advisable to study the level of melatonin and other parameters of homeostasis.
About the Authors
E. V. Balyazina
Federal State Budgetary Institution of Higher Education «Rostov State Medical University» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Balyazina Elena Viktorovna
Rostov-on-Don
V. A. Baliazin
Federal State Budgetary Institution of Higher Education «Rostov State Medical University» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Baliazin Viktor Aleksandrovich
Rostov-on-Don
E. G. Rud
Federal State Budgetary Institution of Higher Education «Rostov State Medical University» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Rud Evelina Germanovna
Rostov-on-Don
I. V. Balyazin-Parfeonov
Federal State Budgetary Institution of Higher Education «Rostov State Medical University» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Balyazin-Parfeonov Igor Viktorovich
Rostov-on-Don
N. A. Alekseeva
Federal State Budgetary Institution of Higher Education «Rostov State Medical University» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Alekseeva Natalia Alekseevna
Rostov-on-Don
H. S. Shamhalov
Federal State Budgetary Institution of Higher Education «Rostov State Medical University» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Shamkhalov Khabib Shakhtemirovich
Rostov-on-Don
A. M. Makarova
«Alliansmed» MRI cabinet
Russian Federation
Russian Federation
Markova Anna Mikhailovna
Rostov-on-Don
References
1. Berhoumaa M., Nia H, Delabara V, Tahhana N, Memou S, Mottolesea C Update on the management of pineal cysts: Case series and a review of the literature. Neurochirurgie. 2015 apr-jun;61(2–3):201–207. https://doi.org/10.1016/j.neuchi.2013.08.010.
2. al-Holou WN, Terman SW, Kilburg C, Garton HjL, Muraszko KM, Chandler WF, et al. Prevalence and natural history of pineal cysts in adults. J Neurosurg. 2011;115:1106–1114.
3. al-Holou WN, Garton HjL, Muraszko KM, Ibrahim M, Maher CO. Prevalence of pineal cysts in children and young adults. Clinical article. J Neurosurg Pediatr. 2009;4:230–236.
4. Osborn AG, Preece MT. Intracranial cysts: radiologicpathologic correlation and imaging approach. Radiology. 2006;239(3):650–664.
5. Ahmed el Damaty, Steffen Fleck, Marc Matthes, Joerg Baldauf, HenrS Schroeder. Pineal Cyst without Hydrocephalus: Clinical presentation and postoperative Clinical Course after Infratentorial Supracerebellar resection World Neurosurg. 2019 Sep;129: e530-e537. doi: 10.1016/j.wneu.2019.05.200. epub 2019 May 30.
6. Barboriak DP, Lee I, Provenzale JM. Serial Mr imaging of pineal cysts: implications for natural history and follow-up. AJR Am J Rentgenol. 2001;176:737–743.
7. Bosnjak J(1), Budisić M, Azman D, Strineka M, Crnjaković M, demarin V. pineal gland cysts — an overview. Acta Clin Croat. 2009;48(3):355–368.
8. Sawamura Y, Ikeda J, Ozawa M, Minoshima Y, Saito H, Abe H. Magnetic resonance images reveal a high incidence of asymptomatic pineal cysts in young women. Neurosurgery. 1995 jul;37(1):11–15.
9. al-Holou WN, Terman SW, Kilburg C, Garton HJ, Muraszko KM, Chandler WF, Ibrahim M, Maher CO Prevalence and natural history of pineal cysts inadults. J Neurosurg 2011. 115:1106–1114
10. Martin Majovsky, David Netuka, Vladimir Benes Clinical management of pineal cysts: a worldwide online survey Acta Neurochir.(2016). 158: 663–669. doI 10.1007/s00701-016-2721-3
11. Kalani MY, Wilson DA, Koechlin NO, Abuhusain HJ, Dlouhy BJ, Gunawardena MP, Nozue-okada K, Teo C (2015) Pineal cyst resection in the absence ofventriculomegaly or parinaud’s syndrome: clinical outcomes and implications for patient selection. J Neurosurg 123:352–356
12. Whitehead MT(1), Oh CC, Choudhri AF. Incidental pineal cysts in children who undergo 3-T MrI. Pediatr Radiol. 2013;43(12):1577–83. doi: 10.1007/s00247-013-2742
13. Kahilogullari G(1), Massimi l, DI Rocco C. Pineal cysts in children: case-based update. Childs Nerv Syst. 2013. 29(5):753–60. doi: 10.1007/s00381-012-2011-6.
14. Ericson K., Hakanson S. Computed tomography of epidural hematomas. association with intracranial lesions and clinical correlation. // Acta radiol. 1981. V. 22. N 5. p. 513–519
15. Voronsov A.V., Beliaeva A.Vg., Averkieva E.V., Vladimirova V. P. Simultaneous controlled study of morphometric parameters of the epiphysis in patients with hyperprolactinemia by magnetic resonance imaging. problemy endokrinologiy, 2005;51(6):15–18. https://doi.org/10.14341/probl200551615–18.]
16. Konovalova N.A., Vorogtsova I. N., Pavlenko, O. A., Usov V. Yu., Lukyaneonok P. I. The size of the pineal gland and its structure in hyperprolactinemia according to magnetic resonance imaging. Sovremennie problemi nauky I obrazovaniya,— 2019.— № 6.
17. Miro-Pekka Jussila, Päivi Olsén, Niina Salokorpi, Maria Suo-palosaari Follow-up of pineal cysts in children: is it necessary? Neuroradiology. 2017;59(12):1265–1273. doi: 10.1007/s00234-017-1926-8
18. Martin Májovský, David Netuka, Vladimír Beneš Conservative and Surgical Treatment of patients with pineal Cysts: prospective Case Series of 110 patients. World Neurosurg. 2017 Sep;105:199–205.
19. Riccardo Masina, Ali Ansaripour, Vladimнr Beneš, at al. Surgical treatment of symptomatic pineal cysts without hydrocephalus — meta-analysis of the published literature. acta Neurochirurgica, 2022 164:61–77 https://doi.org/10.1007/s00701-021-05054-0
20. Tomoko Tanaka, Lauren Arnold, Dana Gabriela Mazuru, Mojgan Golzy, Steven B. Carr, N. Scott Litofsky cpineal cysts: does anyone need long-term follow up? Journal of Clinical Neuroscience (2021) 83146–15
21. Zaccagna F., Brown F. S., Allinson K. S.J., Devadass A, Kapadia A., Massoud T. F., Matys T. In and around the pineal gland: a neuroimaging review Clinical Radiology 2022, 77; 107–119.
22. Tsutomu Takahashi, Daiki Sasabayashi, Yoichiro Takayanagi, Yuko Higuchi, Yuko Mizukami, Yukiko Akasaki, Shimako Nishiyama, et al. Potential contribution of pineal atrophy and pineal cysts toward vulnerability and clinical characteristics of psychosis. NeuroImage: Clinical (2021) 32. 102805 https://doi.org/10.1016/j.nicl.2021.102805
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For citations:
Balyazina E.V., Baliazin V.A., Rud E.G., Balyazin-Parfeonov I.V., Alekseeva N.A., Shamhalov H.S., Makarova A.M. The frequency of detection of cystic transformation the pineal gland on the example of the work one MRI cabinet. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(2):13-20. (In Russ.)
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