Pineal cyst apoplexy: report of an unusual case managed conservatively.
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.
Department of Neurosurgery, Hacettepe University School of Medicine, Ankara, Turkey. Electronic address: selim_ayhan@yahoo.com.
Selim
S
Ayhan
Department of Neurosurgery, Hacettepe University School of Medicine, Ankara, Turkey.
Ercan
E
Bal
Department of Neurosurgery, Hacettepe University School of Medicine, Ankara, Turkey.
Selcuk
S
Palaoglu
Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey.
Aysenur
A
Cila
D000328:Adult; D003560:Cysts / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D006261:Headache / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010870:Pineal Gland / Q000473:pathology* / Q000601:surgery*; D010899:Pituitary Apoplexy / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D007319:Sleep Initiation and Maintenance Disorders / Q000209:etiology; D016896:Treatment Outcome