Pineal cyst with symptoms without hydrocephalus Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >18 years 2. Presence of a pineal cyst (PC) of size >10 mm 3. Presence of severe symptoms consistent with the syndrome of nhSPC, defined as =6/10 on an established severity scale 4. Minimum of 6 months of conservative treatment without improvement
Exclusion criteria
Exclusion criteria: 1. Radiological evidence of ventriculomegaly 2. Other diagnosis of CNS pathology, including neoplasm, vascular (ischemic or haemorrhagic), traumatic, or hydrocephalus 3. History of intracranial neurosurgical intervention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of life improvement by 20 points in the Role Functioning scale score of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire – C30 (EORTC QLQ-C30) at 12 months postoperatively as compared to preoperatively | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The effect of surgery on all other domains of the EORTC-QLQ-C30 questionnaire at 3 months, 12 months and every subsequent year postoperatively compared to the preoperative level: Global quality of life (QL2), Physical functioning (PF2), Emotional functioning (EF), Cognitive functioning (CF), Social functioning (SF), Fatigue (FA), Nausea and Vomiting (NV), Pain (PA), Dyspnoea (DY), Insomnia (SL), Appetite loss (AP), Constipation (CO), Diarrhoea (DI), Financial difficulties (FI). 2. The rate of symptom improvement at 3 months, 12 months, and every subsequent year. Specifically, the symptoms assessed are the following: overall, headache, dizziness/balance, hearing/tinnitus, vision, memory, concentration, and sleep. The assessment scale consisted of six levels: much worse, worse, no change, better, much better, I no longer have this symptom. 3. The safety of the intervention assessed by prospectively collecting complications immediately after the operation, at 3 months, 12 months and every subsequent year postoperatively. | — |
Countries
England, United Kingdom