Detection of a pineoblastoma with large central cyst in a young child

Childs Nerv Syst. 2002 Apr;18(3-4):157-60. doi: 10.1007/s00381-002-0569-0. Epub 2002 Mar 26.


The patient: We present the very rare case of a pineoblastoma with large central cyst in a 7-year-old boy who presented with a short history of gradually worsening headache and upward gaze palsy.

Imaging investigations: On CT and MRI studies, it was seen as a peripherally calcified, irregularly shaped mass with heterogeneous low signal intensity on T1-weighted images and ringed enhancement after gadolinium administration; there was homogeneous high signal intensity on T1-weighted images.

Discussion: We discuss differential diagnosis for several types of cystic tumors in the pineal region, including pineoblastomas.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain Diseases / diagnosis*
  • Brain Neoplasms / complications
  • Brain Neoplasms / diagnosis*
  • Brain Neoplasms / pathology
  • Child
  • Cysts / diagnosis*
  • Diagnosis, Differential
  • Headache / etiology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Ophthalmoplegia / etiology
  • Pineal Gland*
  • Pinealoma / complications
  • Pinealoma / diagnosis*
  • Pinealoma / pathology
  • Tomography, X-Ray Computed