TY - JOUR T1 - Management of pineal and colloid cysts JF - Practical Neurology JO - Pract Neurol SP - 292 LP - 299 DO - 10.1136/practneurol-2020-002838 VL - 21 IS - 4 AU - Michael D Jenkinson AU - Samantha Mills AU - Conor L Mallucci AU - Thomas Santarius Y1 - 2021/08/01 UR - http://pn.bmj.com/content/21/4/292.abstract N2 - 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. ER -