Table 1.
Pt | Age at dx | Sex | Preoperative symptoms | Preoperative MRI | Surgery | Intraoperative findings | Post-chemo MRI | Post-XRT MRI | Post-treatment symptoms/most recent MRI | Follow-up (months) |
---|---|---|---|---|---|---|---|---|---|---|
1 | 21 | M | HA, N/V, Parinaud’s | 1) Pineal lesion | Clean 3rd vent floor | CR | CCR | Partial Parinaud’s | 27 | |
2) 3rd vent floor clear | Biopsy* | No | ||||||||
3) HCP | ETV | HCP | CCR | |||||||
2 | 11 | M | DI | 1) Pineal lesion | Tumor bulging through Monro | CR | CCR | DI | 21 | |
2) Suprasellar lesion | Biopsy | No | CCR | |||||||
3) No HCP | HCP | |||||||||
3 | 12 | F | HA, N/V, DI | 1) Pineal lesion | Tumor studding on floor of 3rd vent | CR | CCR | DI | 36 | |
2) Enhancing 3rd vent floor | Biopsy | No | CCR | |||||||
3) HCP | ETV | HCP | ||||||||
4 | 12 | F | N/V, Hemiparesis, DI | 1) Pineal lesion | Tumor studding on floor of 3rd vent | PR | CR | Improved hemiparesis | 44 | |
2) BG lesion | Biopsy | No | ||||||||
3) HCP | ETV | HCP | DI CCR | |||||||
5 | 21 | M | HA, ataxia, LOC, DI | 1) Pineal lesion | Tumor studding on floor of 3rd vent | PR | CR | DI | 59 | |
2) Enhancing 3rd | Biopsy | No | CCR | |||||||
vent floor, suprasellar | ETV | HCP | ||||||||
Region | ||||||||||
3) HCP | ||||||||||
6 | 14 | M | Diplopia, HA, DI | 1) Pineal lesion | Tumor studding on floor of 3rd vent | CR | CCR | DI | 47 | |
2) 3rd vent floor clear | Biopsy | No | ||||||||
3) HCP | ETV | |||||||||
7 | 14 | M | HA, N/V, DI | 1) Pineal lesion | Tumor studding on floor of 3rd vent | CR | CCR | DI | 19 | |
2) Mass on 3rd vent floor | Biopsy | No | CCR | |||||||
3) HCP | ETV | HCP | ||||||||
8 | 16 | M | HA, N/V, Diplopia | 1) Pineal lesion | Clean 3rd vent floor | CR | CCR | No symptoms | 15 | |
2) 3rd vent floor clear | Biopsy | CCR | ||||||||
3) HCP | ETV |
Biopsy indicates endoscopic tumor biopsy.
Abbreviations used: BG, basal ganglia; CCR, continued complete response; CR, complete response; DI, diabetes insipidus; dx, diagnosis; ETV, endoscopic third ventriculostomy; F, female; HA, headache; HCP, hydrocephalus; LOC, loss of consciousness; M, male; N/V, nausea and vomiting; PR, partial response; Pt, patient; 3rd vent, third ventricle.