Pineal cysts

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To The Editor: We have read with great interest the excellent article by Wajd N. Al-Holou and colleagues (Al-Holou WN, Maher CO, Muraszko KM, et al: The natural history of pineal cysts in children and young adults. Clinical article. J Neurosurg Pediatr 5:162–166, February, 2010). We agree that the primary problem with regard to these patients is the high level of distress experienced by their parents and their referring pediatricians. Our protocol includes an initial evaluation and systematic follow-up MR imaging at 1 year and at 3 years. If no changes are

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