Successful conservative operative management of pineal apoplexy.
A 71-year-old woman presented with obstructive hydrocephalus caused by a haemorrhagic pineal mass. A right ventriculo-peritoneal shunt was inserted with successful treatment of the hydrocephalus and resolution of symptoms and signs. Post-operative MRI both as an inpatient and at 5 and 18 months showed no contrast enhancement of the lesion and there was resolution of the radiographic abnormality. She remains symptom-free at 18 months. Previous reports have advocated resection of the pineal lesion, but this patient has done well with CSF shunting and MRI surveillance.
Avery
Gary J
GJ
Department of Neurosurgery, Auckland Hospital, Auckland, New Zealand.
Lind
Christopher R P
CR
Bok
Arnold P L
AP
D000368:Aged; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000601:surgery*; D020300:Intracranial Hemorrhages / Q000150:complications* / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D010870:Pineal Gland / Q000473:pathology*; D013997:Time Factors; D017287:Ventriculoperitoneal Shunt / Q000379:methods*