• Joham Choque-Velasquez, Roberto Colasanti, Sajjad Muhammad, Franco Chioffi, and Juha Hernesniemi.
• Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Department of Neurosurgery, University Hospital Düsseldorf, Düsseldorf, Germany. Electronic address: johchove@hotmail.com.
• World Neurosurg. 2022 Mar 1; 159: 298-313.

ObjectiveVascular lesions of the pineal region comprise aneurysms of the pineal region, arteriovenous malformations, cavernous malformations, and vein of Galen malformations. In the present report, we have offered an extensive review of each vascular pineal region lesion.MethodsWe performed an extensive literature review, focusing on the current therapeutic options available for the different vascular lesions of the pineal region.ResultsVascular lesions of the pineal region are rare. Microneurosurgery remains a valid treatment of cavernomas, arteriovenous malformations, and aneurysms. Endovascular treatments seem to be the first option for the vein of Galen malformations, followed by microneurosurgery. Radiosurgery seems beneficial for small-size arteriovenous malformations. Complex and large vascular lesions will require a combination of multiple treatments.ConclusionsVascular lesions of the pineal region are complex, uncommon diseases. Thus, definitive therapeutic modalities for these lesions require further research.Copyright © 2021 Elsevier Inc. All rights reserved.

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