Pineal apoplexy

Baba, Yahya; Gaillard, Frank

doi:10.53347/rid-22579

Cited by 1 publication

(3 citation statements)

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“…19 Enlargement effects may result in the displacement of normal pineal calcification and potential obstruction of the aqueduct, leading to hydrocephalus. 19 Furthermore, the utilization of CT scans has been employed to ascertain a consistent prevalence of PCs, as it is typically the initial imaging modality selected for individuals with cranial trauma. 30 Approximately 30% of PCs exhibit a modestly hyperdense quality either inside the cyst itself or in its surrounding wall.…”

Section: Discussionmentioning

confidence: 99%

“…On CT scans, acute hemorrhages manifest as hyperattenuating lesions in the pineal region, often accompanied by a visible hematocrit effect, characterized by gradual shading or the presence of fluid-fluid levels. 19 Enlargement effects may result in the displacement of normal pineal calcification and potential obstruction of the aqueduct, leading to hydrocephalus. 19 Furthermore, the utilization of CT scans has been employed to ascertain a consistent prevalence of PCs, as it is typically the initial imaging modality selected for individuals with cranial trauma.…”

Section: Imaging Findingmentioning

confidence: 99%

“…MRI findings in pineal apoplexy typically mimic those of intracranial hematomas at different stages of blood aging. 19 The postcontrast MRI plays a crucial role in differentiating PCs from other pathologic entities that may result in bleeding. 17 PCs can be identified by the presence of a smooth cyst wall measuring less than 2 mm.…”

Section: Imaging Findingmentioning

confidence: 99%

See 2 more Smart Citations

Pineal Apoplexy: Highlighting the Causes, Treatment, and Outcome

Atallah,

Chaurasia,

Badary

et al. 2024

J Neurol Surg A Cent Eur Neurosurg

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Background Pineal apoplexy, alternatively referred to as pineal hemorrhage or pineal gland hemorrhagic stroke, is an infrequent pathologic condition characterized by bleeding within the pineal gland. In this review, we encompass the primary factors contributing to this uncommon ailment. Methods The retrieval of pertinent research, including patients with pineal apoplexy, was conducted through PubMed, Google Scholar, and Scopus databases. This study exclusively incorporated comprehensive articles written in the English language. The search encompassed the MeSH terms “pineal apoplexy” and “pineal hemorrhage.” Results A total of 41 articles were identified, encompassing a collective sample size of 57 patients. The median age of the patients in the study was 30 years, with a range spanning from 1 to 73 years. There were 27 males, representing 47.4% of the participants. The study identified the most often reported symptoms as headache (49; 86%), nausea/vomiting (19; 33.3%), and Parinaud's syndrome (16; 28.1%). The treatment options encompass several approaches, including open resection, shunting, ventriculostomy, endoscopic aspiration, and conservative care. In the conducted study, a notable number of patients, amounting to 45 cases (78.9%), indicated an amelioration of their symptoms upon their discharge. Conclusion Data from a cohort of 57 cases provide insights into symptoms, lesions, treatments, and outcomes. Management approaches range from conservative measures to surgical interventions, with prognosis hinged on timely intervention. This investigation serves as a valuable resource for clinicians and researchers, underscoring the need for early diagnosis before permanent neurologic dysfunction happens and tailored treatments for optimal outcomes in pineal apoplexy cases.

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Section: Discussionmentioning

confidence: 99%

Section: Imaging Findingmentioning

confidence: 99%