Symptomatic pineal cyst

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Marmara Medical Journal
Volume:11 Issue:1
Symptomatic pineal cyst

Symptomatic pineal cyst

Authors : M Z BERKMAN, S ULUER, S BEK, T DERİNKOK, D ÖZCAN

Pages : 27-31

View : 9 | Download : 9

Publication Date : 1998-01-01

Article Type : Research Paper

Abstract :Although pineal cysts are incidental findings in as many as 1,4 - 4,3% of magnetic resonance imaging studies, symptomatic pineal cysts are quite rare because pineal cysts cannot be detected until they reach to a size that can cause compression symptoms. We present a case of symptomatic pineal cyst with complaints of mental dullness and headache for the last three years. His neurological examination revealed only bilateral upgaze palsy. CT and MRI scanning showed a regionally calcified cystic tumour at the pineal region with 1,5 cm in diameter which was thought to be the reason of Parinaud`s syndrome. UGA, sitting position, by supratentorial suboccipital approach the cystic lesion was totally extirpated. Histological examination confirmed the diagnosis of a pineal cyst. Asymptomatic incidental cases do not require treatment but if there are neurological findings usually those that are more than 1,5-2 cm diameter then the cyst must be totally extirpated surgically.
Keywords : Computerized tomography, Magnetic resonance imaging, Pineal cyst

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