Successful conservative operative management of pineal apoplexy
A 71-year-old woman presented with obstructive hydrocephalus caused by a haemorrhagic pineal mass. A right ventriculo-peritoneal shunt was inserted with successful treatment of the hydrocephalus and resolution of symptoms and signs. Post-operative MRI both as an inpatient and at 5 and 18 months show...
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Veröffentlicht in: | Journal of clinical neuroscience 2004-08, Vol.11 (6), p.667-669 |
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creator | Avery, Gary J Lind, Christopher R.P Bok, Arnold P.L |
description | A 71-year-old woman presented with obstructive hydrocephalus caused by a haemorrhagic pineal mass. A right ventriculo-peritoneal shunt was inserted with successful treatment of the hydrocephalus and resolution of symptoms and signs. Post-operative MRI both as an inpatient and at 5 and 18 months showed no contrast enhancement of the lesion and there was resolution of the radiographic abnormality. She remains symptom-free at 18 months. Previous reports have advocated resection of the pineal lesion, but this patient has done well with CSF shunting and MRI surveillance. |
doi_str_mv | 10.1016/j.jocn.2003.11.009 |
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A right ventriculo-peritoneal shunt was inserted with successful treatment of the hydrocephalus and resolution of symptoms and signs. Post-operative MRI both as an inpatient and at 5 and 18 months showed no contrast enhancement of the lesion and there was resolution of the radiographic abnormality. She remains symptom-free at 18 months. Previous reports have advocated resection of the pineal lesion, but this patient has done well with CSF shunting and MRI surveillance.</description><identifier>ISSN: 0967-5868</identifier><identifier>EISSN: 1532-2653</identifier><identifier>DOI: 10.1016/j.jocn.2003.11.009</identifier><identifier>PMID: 15261249</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Aged ; Female ; Humans ; Hydrocephalus - etiology ; Hydrocephalus - surgery ; Intracranial Hemorrhages - complications ; Intracranial Hemorrhages - pathology ; Magnetic Resonance Imaging - methods ; Obstructive hydrocephalus ; Pineal apoplexy ; Pineal gland ; Pineal Gland - pathology ; Time Factors ; Ventriculo-peritoneal shunting ; Ventriculoperitoneal Shunt - methods</subject><ispartof>Journal of clinical neuroscience, 2004-08, Vol.11 (6), p.667-669</ispartof><rights>2003 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c267t-404ca5708fabd9626f3312d568d20aa7b106bda9b4f3e71336241cad8b265b923</citedby><cites>FETCH-LOGICAL-c267t-404ca5708fabd9626f3312d568d20aa7b106bda9b4f3e71336241cad8b265b923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0967586803003564$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15261249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Avery, Gary J</creatorcontrib><creatorcontrib>Lind, Christopher R.P</creatorcontrib><creatorcontrib>Bok, Arnold P.L</creatorcontrib><title>Successful conservative operative management of pineal apoplexy</title><title>Journal of clinical neuroscience</title><addtitle>J Clin Neurosci</addtitle><description>A 71-year-old woman presented with obstructive hydrocephalus caused by a haemorrhagic pineal mass. A right ventriculo-peritoneal shunt was inserted with successful treatment of the hydrocephalus and resolution of symptoms and signs. Post-operative MRI both as an inpatient and at 5 and 18 months showed no contrast enhancement of the lesion and there was resolution of the radiographic abnormality. She remains symptom-free at 18 months. Previous reports have advocated resection of the pineal lesion, but this patient has done well with CSF shunting and MRI surveillance.</description><subject>Aged</subject><subject>Female</subject><subject>Humans</subject><subject>Hydrocephalus - etiology</subject><subject>Hydrocephalus - surgery</subject><subject>Intracranial Hemorrhages - complications</subject><subject>Intracranial Hemorrhages - pathology</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Obstructive hydrocephalus</subject><subject>Pineal apoplexy</subject><subject>Pineal gland</subject><subject>Pineal Gland - pathology</subject><subject>Time Factors</subject><subject>Ventriculo-peritoneal shunting</subject><subject>Ventriculoperitoneal Shunt - methods</subject><issn>0967-5868</issn><issn>1532-2653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLxDAUhYMozjj6B1xIV-5a82iTFgSRwRcMuFDXIU1uJaVtatIOM__eDh1w5-rexXcOnA-ha4ITggm_q5Pa6S6hGLOEkATj4gQtScZoTHnGTtESF1zEWc7zBboIocYTkTJ8jhYko5zQtFiih49RawihGptIuy6A36rBbiFyPfj5a1WnvqGFbohcFfW2A9VEqnd9A7v9JTqrVBPg6nhX6Ov56XP9Gm_eX97Wj5tYUy6GOMWpVpnAeaVKU3DKK8YINRnPDcVKiZJgXhpVlGnFQBDGOE2JViYvpyllQdkK3c69vXc_I4RBtjZoaBrVgRuD5FxQJkQ2gXQGtXcheKhk722r_F4SLA_aZC0P2uRBmyRETlKm0M2xfSxbMH-Ro6cJuJ8BmDZuLXgZtIVOg7Ee9CCNs__1_wKSlX6Z</recordid><startdate>200408</startdate><enddate>200408</enddate><creator>Avery, Gary J</creator><creator>Lind, Christopher R.P</creator><creator>Bok, Arnold P.L</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200408</creationdate><title>Successful conservative operative management of pineal apoplexy</title><author>Avery, Gary J ; Lind, Christopher R.P ; Bok, Arnold P.L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c267t-404ca5708fabd9626f3312d568d20aa7b106bda9b4f3e71336241cad8b265b923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Female</topic><topic>Humans</topic><topic>Hydrocephalus - etiology</topic><topic>Hydrocephalus - surgery</topic><topic>Intracranial Hemorrhages - complications</topic><topic>Intracranial Hemorrhages - pathology</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Obstructive hydrocephalus</topic><topic>Pineal apoplexy</topic><topic>Pineal gland</topic><topic>Pineal Gland - pathology</topic><topic>Time Factors</topic><topic>Ventriculo-peritoneal shunting</topic><topic>Ventriculoperitoneal Shunt - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Avery, Gary J</creatorcontrib><creatorcontrib>Lind, Christopher R.P</creatorcontrib><creatorcontrib>Bok, Arnold P.L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Avery, Gary J</au><au>Lind, Christopher R.P</au><au>Bok, Arnold P.L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful conservative operative management of pineal apoplexy</atitle><jtitle>Journal of clinical neuroscience</jtitle><addtitle>J Clin Neurosci</addtitle><date>2004-08</date><risdate>2004</risdate><volume>11</volume><issue>6</issue><spage>667</spage><epage>669</epage><pages>667-669</pages><issn>0967-5868</issn><eissn>1532-2653</eissn><abstract>A 71-year-old woman presented with obstructive hydrocephalus caused by a haemorrhagic pineal mass. A right ventriculo-peritoneal shunt was inserted with successful treatment of the hydrocephalus and resolution of symptoms and signs. Post-operative MRI both as an inpatient and at 5 and 18 months showed no contrast enhancement of the lesion and there was resolution of the radiographic abnormality. She remains symptom-free at 18 months. Previous reports have advocated resection of the pineal lesion, but this patient has done well with CSF shunting and MRI surveillance.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>15261249</pmid><doi>10.1016/j.jocn.2003.11.009</doi><tpages>3</tpages></addata></record> |
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subjects | Aged Female Humans Hydrocephalus - etiology Hydrocephalus - surgery Intracranial Hemorrhages - complications Intracranial Hemorrhages - pathology Magnetic Resonance Imaging - methods Obstructive hydrocephalus Pineal apoplexy Pineal gland Pineal Gland - pathology Time Factors Ventriculo-peritoneal shunting Ventriculoperitoneal Shunt - methods |
title | Successful conservative operative management of pineal apoplexy |
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