PT  - JOURNAL ARTICLE
AU  - Michael D Jenkinson
AU  - Samantha Mills
AU  - Conor L Mallucci
AU  - Thomas Santarius
TI  - Management of pineal and colloid cysts
AID  - 10.1136/practneurol-2020-002838
DP  - 2021 Aug 01
TA  - Practical Neurology
PG  - 292--299
VI  - 21
IP  - 4
4099  - http://pn.bmj.com/content/21/4/292.short
4100  - http://pn.bmj.com/content/21/4/292.full
SO  - Pract Neurol2021 Aug 01; 21
AB  - The widespread use of MRI has led to the increasingly frequent diagnosis of pineal and colloid cysts. While most are small and incidental, do not require long-term monitoring and will never need treatment, they are a cause of patient anxiety and clinician uncertainty regarding the optimal management—particularly for larger cysts or those with an atypical appearance. Occasionally pineal cysts, and more commonly colloid cysts, cause hydrocephalus that requires urgent neurosurgical treatment. More recently the non-hydrocephalic symptomatic pineal cyst has been described in the neurosurgical literature but there is controversy over this entity and its management. This review addresses the difficulties in managing pineal and colloid cysts and provides a pragmatic framework for the practising clinician.