Summary
A 30-year-old male had a headache for one month and was evaluated with both computed tomography (CT) and magnetic resonance (MR). These scans demonstrated an obstructing pineal cyst containing layered acute and subacute blood products by MR criteria. The concurrent scans allowed correlation between CT and MR findings in this rare complication of an unusual entity, explained his headache (and the development of later upward gaze paresis), provided a precise surgical/anatomic approach, and gave a good final clinical result. The report illustrates appropriate CT and MR images and pathological specimen.
Article PDF
Similar content being viewed by others
Explore related subjects
Discover the latest articles, news and stories from top researchers in related subjects.Avoid common mistakes on your manuscript.
References
Hasegawa A, Ohtsubo K, Mori W (1987) Pineal gland in old age; quantitative and qualitative morphological study of 168 human autopsy cases. Brain Res 409: 343–349
Lee DH, Norman D, Newton TH (1987) MR imaging of pineal cysts. J Comput Assist Tomogr 11: 586–590
Mamourian AC, Towfighi J (1986) Pineal cysts: MR imaging. AJNR 7: 1081–1086
Lum GB, Williams JP, Machen BC, Akkaraju V (1987) Benign cystic pineal lesions by magnetic resonance imaging. Comput Tomogr 11: 228–235
Higashi K, Katayama S, Orita T (1979) Pineal apoplexy. J Neurol Neurosurg Psychiatry 42: 1050–1053
Apuzzo MLJ, Davey LM, Manuelidis EE (1976) Pineal apoplexy associated with anticoagulant therapy. J Neurosurg 45: 223–226
Richardson JK, Hirsch CS (1986) Sudden, unexpected death due to “pineal apoplexy”. Am J Forensic Med Pathol 7: 64–68
Baba M, Sugiura K, Takizawa H, Tatsuzawa T, Kamatsuka E, Hayama N (1985) Hematoma in the pineal region: A case report. No Shinkei Geka 13: 337–342
Steinbok P, Dolman CL, Kaan K (1977) Pineocytomas presenting with subarachnoid hemorrhage: Report of two cases. J Neurosurg 47: 776–780
Fujii T, Itakura T, Hayashi S, Komai N, Nakamine H, Saito K (1981) Primary pineal choriocarcioma with hemorrhage monitored by computerized tomography. J Neurosurg 55: 484–487
Author information
Authors and Affiliations
Additional information
The work reported herein was performed under the Navy Clinical Investigation Program, case report no. 84-16-1968-62. The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government
Rights and permissions
About this article
Cite this article
Osborn, R.E., Deen, H.G., Kerber, C.W. et al. A case of hemorrhagic pineal cyst: MR/CT correlation. Neuroradiology 31, 187–189 (1989). https://doi.org/10.1007/BF00698853
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00698853