Pineal cysts: clinical features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Pineal cysts: clinical features. Pineal cysts are present on imaging in 23% of normal people. Fully referenced neurology checklist.
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
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Ophthalmological features (Parinaud’s syndrome)
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Endocrine features
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Occult hydrocephalus
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Other presentations
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Associations
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Differential diagnosis
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References
- 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.
- Al-Holou WN, Terman SW, Kilburg C, et al. Prevalence and natural history of pineal cysts in adults. J Neurosurg 2011; 115:1106-1114.
- Gaillard F, Jones J. Masses of the pineal region: clinical presentation and radiographic features. Postgrad Med J 2010; 86:597-607.
- 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.
- 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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