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Pineal cyst apoplexy: report of an unusual case managed conservatively
Affiliations- department of neurosurgery
- 1 st Department of Radiology, Medical University of Lublin, ul. Jaczewskiego 8, 20-090 Lublin, Poland
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Abstract
Pineal cyst apoplexy is a very rare entity with previously reported symptoms of severe frontal or occipital headache, gaze paresis and visual field defects, nausea or vomiting, syncope, ataxia, hearing loss and sudden death. The treatment options for symptomatic pineal cysts are observation, shunting, aspiration via stereotactic guidance or endoscopy, third ventriculostomy, ventriculocysternostomy, and/or surgical resection by craniotomy and microsurgery.
Here, the authors report an unusual case of a 28-year-old male patient with pineal cyst apoplexy, presenting with headache, insomnia, and sexual dysfunction symptoms who is being managed conservatively and observed for two years by an academic tertiary care unit.
Abstract
Pineal cyst apoplexy is a very rare entity with previously reported symptoms of severe frontal or occipital headache, gaze paresis and visual field defects, nausea or vomiting, syncope, ataxia, hearing loss and sudden death. The treatment options for symptomatic pineal cysts are observation, shunting, aspiration via stereotactic guidance or endoscopy, third ventriculostomy, ventriculocysternostomy, and/or surgical resection by craniotomy and microsurgery.
Here, the authors report an unusual case of a 28-year-old male patient with pineal cyst apoplexy, presenting with headache, insomnia, and sexual dysfunction symptoms who is being managed conservatively and observed for two years by an academic tertiary care unit.
Keywords
apoplexy, melatonin, observation, pineal cyst, pineal gland
About this articleTitle
Pineal cyst apoplexy: report of an unusual case managed conservatively
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
604-607
Page views
235
Article views/downloads
1509
DOI
10.1016/S0028-3843(14)60129-8
Bibliographic record
Neurol Neurochir Pol 2011;45(6):604-607.
Keywords
apoplexy
melatonin
observation
pineal cyst
pineal gland
Authors
Selim Ayhan
Ercan Bal
Selcuk Palaoglu
Aysenur Cila
