title: Pineal region masses--imaging findings and surgical approaches.
abstract: The anatomy of the pineal region is complex. Despite advances in surgical techniques since the first reported successful pineal region surgery in the early 20th century, pineal region surgery remains challenging owing to the proximity of deep cerebral veins and dorsal midbrain structures critical for vision. In this article, we review the relevant surgical anatomy of the pineal region and discuss historically important and current surgical approaches. We describe specific imaging features of pineal region masses that may affect surgical planning and review neoplastic and nonneoplastic masses that occur in the pineal region.
authors.affiliation: Neuroradiology Section, Department of Radiology, University of Utah Health Science Center, Salt Lake City, UT.
authors.forename: Forrester D
authors.initials: FD
authors.lastname: Lensing
authors.affiliation: Neuroradiology Section, Department of Radiology, University of Utah Health Science Center, Salt Lake City, UT.
authors.forename: Travis A
authors.initials: TA
authors.lastname: Abele
authors.affiliation: Department of Neurosurgery, University of Utah Health Science Center, Salt Lake City, UT.
authors.forename: Walavan
authors.initials: W
authors.lastname: Sivakumar
authors.affiliation: Department of Neurosurgery, University of Utah Health Science Center, Salt Lake City, UT.
authors.forename: Philipp
authors.initials: P
authors.lastname: Taussky
authors.affiliation: Neuroradiology Section, Department of Radiology, University of Utah Health Science Center, Salt Lake City, UT.
authors.forename: Lubdha M
authors.initials: LM
authors.lastname: Shah
authors.affiliation: Neuroradiology Section, Department of Radiology, University of Utah Health Science Center, Salt Lake City, UT. Electronic address: karen.salzman@hsc.utah.edu.
authors.forename: Karen L
authors.initials: KL
authors.lastname: Salzman
mesh_terms: D016080:Arachnoid Cysts / Q000473:pathology* / Q000601:surgery; D001932:Brain Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008579:Meningioma / Q000473:pathology* / Q000601:surgery; D009373:Neoplasms, Germ Cell and Embryonal / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D010870:Pineal Gland / Q000033:anatomy & histology / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed