Pineocytoma history and symptoms: Difference between revisions
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*[Symptom 2] | *[Symptom 2] | ||
*[Symptom 3] | *[Symptom 3] | ||
== Diagnosis == | |||
===History === | |||
When evaluating a patient for pineocytoma, you should take a detailed history of the presenting symptom (onset, duration, and progression), other associated symptoms, and a thorough family and past medical history review. | |||
===Symptoms=== | |||
*The clinical presentation of pineocytoma is mainly from the [[obstructive hydrocephalus]] secondary to compression of the [[tectum]] of the midbrain and obstruction of the [[Cerebral aqueduct|aqueduct]].<ref name="symptoms1">Clinical presentation of pineocytoma. Dr Bruno Di Muzio and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/pineocytoma. Accessed on November 20, 2015</ref> | |||
**Pineal tumors cause neurologic dysfunction by direct invasion, compression, or obstruction of cerebrospinal fluid (CSF) flow. | |||
**The rate of tumor growth determines the rapidity of symptom onset and is an important prognostic factor. | |||
*Pineal gland tumors share some common clinical and radiographic features based upon their anatomic location. Symptoms of pineocytoma include: | |||
:*Hydrocephalus is common, manifested by headaches, lethargy, and signs of increased intracranial pressure. | |||
:*Progressive local tumor growth may result in cranial neuropathies or hypothalamic dysfunction. | |||
:**[[Somnolence|Sleepiness]] | |||
:**[[Irritability]] | |||
:**[[Personality pathology|Personality changes]] | |||
:**[[Diplopia|Double vision]] | |||
:**[[Trouble coordinating motor movements]] | |||
:**[[Difficulty walking]] | |||
:**[[Slowed growth]] | |||
{| border="1" cellpadding="5" cellspacing="0" align="center" |class="wikitable" | |||
|+ | |||
! style="background:#efefef;" |Symtpoms | |||
! style="background:#efefef;" |Signs | |||
|- | |||
|[[Headaches]] | |||
|[[Papilledema]] | |||
|- | |||
|Vision abnormalities | |||
|[[Ataxia]] | |||
|- | |||
|[[Nausea]] and [[vomiting]] | |||
|Loss of upward gaze | |||
|- | |||
|Impaired ambulation | |||
|[[Tremor]] | |||
|- | |||
| | |||
|Altered pupillary reflexes | |||
|- | |||
| | |||
|Hyperactive deep tendon reflexes | |||
|} | |||
==References== | ==References== | ||
Latest revision as of 15:59, 10 October 2019
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2] Homa Najafi, M.D.[3]
Overview
The majority of patients with [disease name] are asymptomatic.
OR
The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History and Symptoms
- The majority of patients with [disease name] are asymptomatic.
OR
- The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
- Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History
Patients with [disease name]] may have a positive history of:
- [History finding 1]
- [History finding 2]
- [History finding 3]
Common Symptoms
Common symptoms of [disease] include:
- [Symptom 1]
- [Symptom 2]
- [Symptom 3]
Less Common Symptoms
Less common symptoms of [disease name] include
- [Symptom 1]
- [Symptom 2]
- [Symptom 3]
Diagnosis
History
When evaluating a patient for pineocytoma, you should take a detailed history of the presenting symptom (onset, duration, and progression), other associated symptoms, and a thorough family and past medical history review.
Symptoms
- The clinical presentation of pineocytoma is mainly from the obstructive hydrocephalus secondary to compression of the tectum of the midbrain and obstruction of the aqueduct.[1]
- Pineal tumors cause neurologic dysfunction by direct invasion, compression, or obstruction of cerebrospinal fluid (CSF) flow.
- The rate of tumor growth determines the rapidity of symptom onset and is an important prognostic factor.
- Pineal gland tumors share some common clinical and radiographic features based upon their anatomic location. Symptoms of pineocytoma include:
- Hydrocephalus is common, manifested by headaches, lethargy, and signs of increased intracranial pressure.
- Progressive local tumor growth may result in cranial neuropathies or hypothalamic dysfunction.
| Symtpoms | Signs |
|---|---|
| Headaches | Papilledema |
| Vision abnormalities | Ataxia |
| Nausea and vomiting | Loss of upward gaze |
| Impaired ambulation | Tremor |
| Altered pupillary reflexes | |
| Hyperactive deep tendon reflexes |
References
- ↑ Clinical presentation of pineocytoma. Dr Bruno Di Muzio and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/pineocytoma. Accessed on November 20, 2015