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.

中文翻译：

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松果体和胶体囊肿的治疗

MRI 的广泛应用导致松果体和胶体囊肿的诊断越来越频繁。虽然大多数都是小而偶然的，不需要长期监测，也永远不需要治疗，但它们是患者焦虑和临床医生不确定最佳管理的原因——特别是对于较大的囊肿或外观不典型的囊肿。偶尔松果体囊肿，更常见的是胶体囊肿，会导致需要紧急神经外科治疗的脑积水。最近，神经外科文献中描述了非脑积水症状性松果体囊肿，但对该实体及其管理存在争议。本综述解决了处理松果体和胶体囊肿的困难，并为执业临床医生提供了一个实用的框架。