The patient is a 33 year-old man who presented 2 months prior to surgery with headache and decreased vision. An MRI scan showed a pineal region mass causing hydrocephalus. He underwent the placement of a VP shunt and a stereotactic brain biopsy. The biopsy results were equivocal. A full spine MRI scan showed no evidence of spinal metastases. He is now admitted for resection of his pineal mass.
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