[Parinaud's syndrome in children].
OBJECTIVE
To describe the clinical and ethiologic findings of children with Parinaud's syndrome.


METHODS
11 children fulfilling the clinical criteria for Parinaud's syndrome were studied. The mean age was 10 years with a range of 10 months to 14 years.


RESULTS
Seven cases were tumors (pineal germinoma in four and one each with teratoma, astrocytoma, and an undefined tumor); the remaining 4 cases corresponded to arachnoid cyst in the III ventricule, cysticercosis, tuberculoma and multiple sclerosis. The main treatment was surgical including ventriculoperitoneal shunt because of hydrocephalous secondary to mechanical obstruction. Chemotherapy and radiotherapy were also used for the tumor cases, and steroids for the multiple sclerosis patient.


CONCLUSIONS
In contrast to adults, Parinaud's syndrome in our children was associated with a mass, mainly tumoral, which interrupted the afferent and efferent connections of the midbrain structures, such as posterior commissure, riMLF or the interstitial nucleus of Cajal.
Servicio de Neurología, Centro Médico Nacional Siglo XXI, IMSS, México, D.F.
F
F
Aguilar-Rebolledo
A
A
Zárate-Moysén
G
G
Quintana-Roldán
D000818:Animals; D001254:Astrocytoma / Q000150:complications / Q000601:surgery; D001932:Brain Neoplasms / Q000150:complications / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D018237:Germinoma / Q000150:complications / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000150:complications / Q000601:surgery; D007223:Infant; D008297:Male; D009103:Multiple Sclerosis / Q000150:complications / Q000188:drug therapy; D015835:Ocular Motility Disorders / Q000209:etiology* / Q000601:surgery; D013577:Syndrome; D013724:Teratoma / Q000150:complications / Q000601:surgery; D017287:Ventriculoperitoneal Shunt
Síndrome de Parinaud en niños.