Case Report of Pineal Apoplexy in a Patient with Primary Headache Syndrome: To Treat or not to Treat

Tarun Mathur

Department of Neurology, Seven Hills Hospital, India

^*Correspondance to: Tarun Mathur 

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Abstract:

Background: Pineal cysts are mostly clinically benign and discovered as incidental findings although some can become symptomatic in form of apoplexy which is very rare. Rarely pineal apoplexy will be a silent epiphenomenon and a neuroimaging finding only as was in our case. Case Report: We hereby report the case of a 28 years old male with past h/o episodic paroxysmal hemicrania showing pineal cyst with intracystic hemorrhagic fluid level on neuroimaging suggestive of apoplexy. Patient was managed conservatively with good response to medications. Discussion: Pineal cyst apoplexy is rare and it being clinically silent is even rarer. Also it is difficult to suspect it in previously known patients of primary headache disorder in whom seasonal relapses are known to occur and may pose some therapeutic dilemmas when discovered on neuroimaging. Conclusion: Pineal cyst apoplexy can be a radiological finding only and treatment decision in such cases should be taken by clinical judgment.

Keywords:

Pineal apoplexy; Episodic paroxysmal hemicrania

Cite the Article:

Mathur T. Case Report of Pineal Apoplexy in a Patient with Primary Headache Syndrome: To Treat or not to Treat. Clin Case Rep Int. 2022; 6: 1258.