Department of Neurosurgery, Hacettepe University School of Medicine, Ankara, Turkey.
Department of Neurosurgery, Hacettepe University School of Medicine, Ankara, Turkey.
Neurol Neurochir Pol. 2011 Nov-Dec;45(6):604-607. doi: 10.1016/S0028-3843(14)60129-8.
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.
松果体囊肿卒中是一种非常罕见的疾病，此前有报道的症状包括严重的额部或枕部头痛、眼球运动障碍和视野缺损、恶心或呕吐、晕厥、共济失调、听力丧失和猝死。有症状的松果体囊肿的治疗选择包括观察、分流、立体定向引导下抽吸或内镜下抽吸、第三脑室造口术、脑室-脑池造瘘术，和/或开颅显微手术切除。在这里，作者报告了一例 28 岁男性松果体囊肿卒中的不寻常病例，该患者表现为头痛、失眠和性功能障碍症状，目前正在一家学术性三级护理中心接受保守治疗，并观察两年。
