eISSN: 2300 - 8660
ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank

2/2017
vol. 92
 
Share:
Share:
more
 
 
abstract:
Original paper

Pineal cysts as a cause of central nervous system symptoms

Agata Marjańska
,
Magdalena Dziedzic
,
Krzysztof Czyżewski
,
Jan Styczyński

PEDIATRIA POLSKA 92 (2017) 143-148
Online publish date: 2018/03/07
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Introduction
Nonneoplasmatic pineal cyst changes are quite often found during brain MRI of pediatric patients. Usually, they are asymptomatic; however, clinical signs such as headache, sight disorders, dizziness or hydrocephalia may occur.

Objective
Epidemiological and clinical evaluation of the occurrence of pineal cysts in children treated in a single oncological ward over a period of 7 years.

Methods
Retrospective analysis of the patients hospitalized in the Department of Pediatrics, Hematology and Oncology in Bydgoszcz and diagnosed for pineal cyst by MRI.

Results
The incidence of pineal cysts in patients who underwent MRI for various reasons was 5.2%. In 52% of the patients, MRI examination was performed to check their reported headache. The size of the cysts in MRI varied from 3 mm to 21 mm. Control MRI was performed in 64% of the children after 1-12 months. In 2 of them, little reduction of the size of the cyst was observed; in one case, slight enlargement was observed, and in the remaining, the size was stable. None of the patients required neurosurgical intervention. Conclusions:

Conclusions
Pineal cysts were diagnosed in 5.2% of the children with central nervous system disorder symptoms. In half of the cases, headache was the reason for starting the diagnostic procedures. Size of the pineal cysts observed in the population of pediatric patients usually does not exceed 10 mm. Most of the pineal cysts have mild clinical character but always require excluding the presence of malignant process. No clinical progression was observed within 6-12 month observation in any of the patients.

keywords:

Sight disorders, Dizziness, Hydrocephalia, Pineal gland, Brain MRI, Headache