Pineal cysts: clinical features

Evidence-based neurology checklist on pineal cysts: clinical features: Demographic features Pineal cysts are present on imaging in 23% of normal people These usually occur in women The usual age is in the third or fourth decades They are usually asymptomatic Neurological features Ophthalmological…

Demographic features

  • Pineal cysts are present on imaging in 23% of normal people
  • These usually occur in women
  • The usual age is in the third or fourth decades
  • They are usually asymptomatic

Neurological features

Ophthalmological features (Parinaud’s syndrome)

Endocrine features

Occult hydrocephalus

Other presentations

Associations

Differential diagnosis

References

  1. Choy W, Kim W, Spasic M, Voth B, Yew A, Yang I. Pineal cyst: a review of clinical and radiological features. Neurosurg Clin N Am 2011; 22:341-351.
  2. Al-Holou WN, Terman SW, Kilburg C, et al. Prevalence and natural history of pineal cysts in adults. J Neurosurg 2011; 115:1106-1114.
  3. Gaillard F, Jones J. Masses of the pineal region: clinical presentation and radiographic features. Postgrad Med J 2010; 86:597-607.
  4. Kalani MY, Wilson DA, Koechlin NO, et al. Pineal cyst resection in the absence of ventriculomegaly or Parinaud's syndrome: clinical outcomes and implications for patient selection. J Neurosurg 2015; 123:352-356.
  5. Pu Y, Mahankali S, Hou J, et al. High prevalence of pineal cysts in healthy adults demonstrated by high-resolution, noncontrast brain MR imaging. AJNR 2007; 28:1706-1709.
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