Pineal gland apoplexy mimicking as migraine-like headache

Karthik, Davala Krishna; Khardenavis, Vikram; Kulkarni, Sharvari; Deshpande, Anirudda

doi:10.1136/bcr-2018-225187

Cited by 3 publications

(2 citation statements)

References 3 publications

(1 reference statement)

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“…Following exclusion of 53 items, 109 items comprising 504 cases were reviewed. A total of 53 items were labeled as “Cases—Structural” (70 individual case reports in total) 12–64 (Table ), 34 as “Cases—Nonstructural” (50 individual case reports in total) 65–98 (Table ), and 19 as “Groups” (384 cases in total) 99–117 (Table ). In addition, from two case series of three patients, 118,119 three cases were included in “Cases—Structural,” and three in “Cases—Other.” In one case, additional information was gathered from a previous report of the same case 38,120 …”

Section: Resultsmentioning

confidence: 99%

Symptomatic migraine: A systematic review to establish a clinically important diagnostic entity

et al. 2021

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Objective To determine if a clinical presentation indistinguishable from migraine can occur due to an underlying condition or pathology, that is, "symptomatic migraine." Background It is currently not clear whether migraine truly can be caused by an underlying condition or pathology. Characterization of the etiology and clinical features of possible symptomatic migraine is of significant clinical importance and further may help elucidate the pathophysiology of migraine. Methods We devised operational diagnostic criteria for “symptomatic migraine” and “possible symptomatic migraine” requiring strong evidence for a causal relation between underlying cause and migraine symptoms adhering strictly to diagnostic criteria. PubMed was searched for case reports of symptomatic migraine from inception to March 2020. Only articles published in English or German were included. No restrictions were placed on study design. Relevant references in the articles were also included. Papers were systematically reviewed by two independent reviewers for detailed clinical features of migraine as well as the proposed underlying conditions and the effects of treatment of these conditions. Results Our search retrieved 1726 items. After screening, 109 papers comprising 504 cases were reviewed in detail. Eleven patients with migraine with aura (MWA) fulfilled our working criteria for symptomatic migraine, and 39 patients fulfilled our criteria for possible symptomatic migraine. The most common etiologies of symptomatic migraine were arteriovenous malformations, carotid stenosis, dissection or aneurysm, brain infarctions, meningioma, and various intra‐axial tumors. Conclusions Symptomatic MWA, indistinguishable from idiopathic MWA, may occur due to cortical lesions or microembolization. We found no clear evidence supporting the existence of symptomatic migraine without aura although we did identify possible cases. Our findings are limited by the available literature, and we suggest that prospective studies are needed.

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Section: Resultsmentioning

confidence: 99%

Symptomatic migraine: A systematic review to establish a clinically important diagnostic entity

et al. 2021

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“… 7 The most-common symptom of PA is headache, although it has a highly nonspecific and variable presentation, and can manifest as a worsened headache in people with previous primary headaches, 4 as in our case report. Karthik et al 8 similarly reported a PA case presenting with migraine-like headache. Visual deficits and gaze paresis are often identified, which are either due to direct compression of the midbrain or secondary to obstructive hydrocephalus.…”

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confidence: 96%

Pineal Apoplexy Presenting With Recurrent Migraine-Like Headache and Transitory Neurological Dysfunction During Pregnancy

et al. 2022

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Pineal Apoplexy: Highlighting the Causes, Treatment, and Outcome

Atallah,

Chaurasia,

Badary

et al. 2024

J Neurol Surg A Cent Eur Neurosurg

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Background Pineal apoplexy, alternatively referred to as pineal hemorrhage or pineal gland hemorrhagic stroke, is an infrequent pathologic condition characterized by bleeding within the pineal gland. In this review, we encompass the primary factors contributing to this uncommon ailment. Methods The retrieval of pertinent research, including patients with pineal apoplexy, was conducted through PubMed, Google Scholar, and Scopus databases. This study exclusively incorporated comprehensive articles written in the English language. The search encompassed the MeSH terms “pineal apoplexy” and “pineal hemorrhage.” Results A total of 41 articles were identified, encompassing a collective sample size of 57 patients. The median age of the patients in the study was 30 years, with a range spanning from 1 to 73 years. There were 27 males, representing 47.4% of the participants. The study identified the most often reported symptoms as headache (49; 86%), nausea/vomiting (19; 33.3%), and Parinaud's syndrome (16; 28.1%). The treatment options encompass several approaches, including open resection, shunting, ventriculostomy, endoscopic aspiration, and conservative care. In the conducted study, a notable number of patients, amounting to 45 cases (78.9%), indicated an amelioration of their symptoms upon their discharge. Conclusion Data from a cohort of 57 cases provide insights into symptoms, lesions, treatments, and outcomes. Management approaches range from conservative measures to surgical interventions, with prognosis hinged on timely intervention. This investigation serves as a valuable resource for clinicians and researchers, underscoring the need for early diagnosis before permanent neurologic dysfunction happens and tailored treatments for optimal outcomes in pineal apoplexy cases.

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Pineal gland apoplexy mimicking as migraine-like headache

Cited by 3 publications

References 3 publications

Symptomatic migraine: A systematic review to establish a clinically important diagnostic entity

Symptomatic migraine: A systematic review to establish a clinically important diagnostic entity

Pineal Apoplexy Presenting With Recurrent Migraine-Like Headache and Transitory Neurological Dysfunction During Pregnancy

Pineal Apoplexy: Highlighting the Causes, Treatment, and Outcome

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