Headaches and pineal cysts.

Instituto Israelita de Ensino e Pesquisa Hospital Albert Einstein, Al Joaquim Eugenio de Lima, 881 cj 708, 01403-001, Sao Paulo, Brazil.
Headache The Journal of Head and Face Pain (Impact Factor: 3.19). 04/2010; 50(4):666-8. DOI: 10.1111/j.1526-4610.2010.01652.x
Source: PubMed
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    ABSTRACT: The natural history of pineal cysts still remains unclear. Incidental pineal cysts have become more common which raises the question of their management. Symptomatic pineal cysts may require a surgical solution but therapeutic indications have not yet been clearly established.
    Neurochirurgie 06/2014; DOI:10.1016/j.neuchi.2013.08.010 · 0.47 Impact Factor
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    ABSTRACT: Most commonly pineal cysts are small, benign and asymptomatic lesions. Conversely, symptomatic pineal cysts are usually larger than those found incidentally. The incidence of symptomatic pineal cysts is highest in young women between 21 and 30 years of age, leading to the hypothesis that hormonal influences contribute to their etiology [1]. Symptoms may be caused by aqueductal compression resulting in hydrocephalus, obstruction of the vein of Galen, or compression of the collicular plate leading to Parinaud's syndrome; alternatively, headaches maybe be caused by disturbances in melatonin secretion and metabolism [2]. © 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica.
    Acta Paediatrica 11/2012; 102(2). DOI:10.1111/apa.12089 · 1.84 Impact Factor
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    ABSTRACT: PURPOSE: Pineal cysts (PC) are found in children as often asymptomatic and without change in their size over the time. However, there are some debatable issues about their evolution and management in the pediatric population. The aim of the present paper is to update the information regarding pathogenesis, clinical presentation, and management of these lesions. METHODS: All the pertinent literature was reviewed, and a meta-analysis of operated on cases was carried out. An illustrative case regarding the clinical evolution of a 13-year-old girl is also presented. RESULTS AND CONCLUSIONS: PC are often asymptomatic and do not evolve over the time. However, since there is a certain risk of clinical and/or radiological progression, or even sudden and severe clinical onset (apoplexy), both a clinical and radiological follow-up is recommended in the pediatric age. The surgical excision is usually limited to symptomatic patients or to cases with clear radiological evolution.
    Child s Nervous System 01/2013; DOI:10.1007/s00381-012-2011-6 · 1.16 Impact Factor