Agravamiento de un cuadro migrañoso por apoplejía de un quiste pineal gigante

Argüelles, José María Gómez; Mata, P.; Velasco, P.E. Bermejo; Anciones, B.

doi:10.33588/rn.4801.2008292

Cited by 2 publications

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“…Su aparición habitual tras el inicio de la pubertad hace suponer una posible relación con la involución de la glándula pineal 4 , sin embargo, pueden observarse a cualquier edad, desde la infancia hasta la vida adulta. Se han sugerido otras hipótesis para intentar explicar su origen, desde un fallo de crecimiento de las células pineales hasta una posible degeneración glial debida a una isquemia local 5 .…”

Section: Discussionunclassified

Cefalea nocturna y miedo a no despertar

Arévalo¹,

Pato

Álvarez

2011

Rev Pediatr Aten Primaria

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Los autores declaran no presentar conflictos de intereses en relación con la preparación y publicación de este artículo. Resumen Los quistes de la glándula pineal, habitualmente asintomáticos, suelen ser un hallazgo incidental en pruebas de imagen realizadas por otro motivo. Se han relacionado ocasionalmente con diversos síntomas como cefalea, crisis epilépticas o trastornos psíquicos, siendo el factor más importante para que se conviertan en sintomáticos su tamaño o la presencia de un sangrado intraquístico. Presentamos el caso de una mujer de 14 años de edad con quiste en la glándula pineal de pequeño tamaño y sangrado en su interior que consulta por cambios en las características de su cefalea habitual y manifestaciones psicoafectivas.

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Section: Discussionunclassified

Cefalea nocturna y miedo a no despertar

Arévalo¹,

Pato

Álvarez

2011

Rev Pediatr Aten Primaria

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Systematic review of pineal cysts surgery in pediatric patients

et al. 2020

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Introduction We present a consecutive case series and a systematic review of surgically treated pediatric PCs. We hypothesized that the symptomatic PC is a progressive disease with hydrocephalus at its last stage. We also propose that PC microsurgery is associated with better postoperative outcomes compared to other treatments. Methods The systematic review was conducted in PubMed and Scopus. No clinical study on pediatric PC patients was available. We performed a comprehensive evaluation of the available individual patient data of 43 (22 case reports and 21 observational series) articles. Results The review included 109 patients (72% females). Ten-year-old or younger patients harbored smaller PC sizes compared to older patients (p < 0.01). The pediatric PCs operated on appeared to represent a progressive disease, which started with unspecific symptoms with a mean cyst diameter of 14.5 mm, and progressed to visual impairment with a mean cyst diameter of 17.8 mm, and hydrocephalus with a mean cyst diameter of 23.5 mm in the final stages of disease (p < 0.001). Additionally, 96% of patients saw an improvement in their symptoms or became asymptomatic after surgery. PC microsurgery linked with superior gross total resection compared to endoscopic and stereotactic procedures (p < 0.001). Conclusions Surgically treated pediatric PCs appear to behave as a progressive disease, which starts with cyst diameters of approximately 15 mm and develops with acute or progressive hydrocephalus at the final stage. PC microneurosurgery appears to be associated with a more complete surgical resection compared to other procedures.

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Agravamiento de un cuadro migrañoso por apoplejía de un quiste pineal gigante

Cited by 2 publications

References 0 publications

Cefalea nocturna y miedo a no despertar

Cefalea nocturna y miedo a no despertar

Systematic review of pineal cysts surgery in pediatric patients

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