Pineal Region Lesions

Professor Florian graduated from the Faculty of Medicine, Institute of Medicine and Pharmacy Cluj-Napoca and subsequently became a specialist neurosurgeon. He was appointed an Assistant Professor of the Neurosurgery Department of the University of Medicine and Pharmacy (UMF) "Iuliu Hatieganu" Cluj-Napoca, where he has been a Professor since 2007. He has served as Head of the Neurosurgical Department, Clinical Emergency Cluj County Hospital since 2001, and was Vice-Dean of the Faculty of Medicine from 2007 to 2012. As a senior neurosurgeon, he has performed more than 16,000 neurosurgical interventions, with no fewer than 800 surgeries per year in the last 5 years. His personal areas of interest are neuro-oncology, cerebrovascular pathology, pediatric neurosurgery and neurotrauma. Further, he is intensively involved in continuous medical education for young neurosurgeons (over the past 10 years he has organised several national and international congresses, as well as various international courses and Master Classes). He has authored 11 books, 28 book chapters, and 54 ISI-indexed publications, and is a member of various national and international professional societies. He was President of the Romanian Society of Neurosurgery from 2010 to 2012 and 2016 to 2018, and has been President of the EMN (Euroacademia Multidisciplinaria Neurotraumatologica) since 2015; a corresponding member of the Romanian Academy of Medical Science since 2016; Second Vice President at large of the WFNS since 2017; and Vice-President of the Southeast European Society of Neurosurgery (SeENS) since 2017.

I Overview.- 1 Historical landmarks in pineal region surgery.- 2 Pineal region anatomy.- 3 Pathology of Pineal Region Lesions .- 4 Clinical presentation.- 5 Imagistic diagnosis.- 6 The Usefulness  of Biomarkers for Diagnosis .- 7 Surgical Adjuvants for pineal region approach.- II Surgical approaches for pineal region lesions.- 8 Supracerebellar infratentorial approach .- 9 Occipital transtentorial approach.- 10 Transcallosal approach.- 11 Endoscopic approaches for pineal region lesions.- 12 Management of Hydrocephalus.- III Adjuvant  therapies.- 13 Radiosurgery.- 14 Other radiotherapeutic techniques.- 15 Chemotherapy.- IV Pineal region tumors.- 16 Tumors of Pineal Cell Origin.- 17 Tumors of germ cell origin.- 18 Tumors of glial origin.- 19 Meningiomas of the pineal region.- 20 Metastatic tumors.- V Vascular lesions of the pineal region.- 21 Arterio-venous malformations.- 22 Cavernomas.-23 Vein of Galen Aneurismal Malformation.- VI Cysts and Cyst -Like Lesions of the pineal region.- 24 Epidermoids and Dermoids.- 25 Pineal Cyst.- VII Miscellanea.- 26 Management algorithms.- 27 Conclusions.