Summary
Tumours of the pineal region have historically been difficult to remove safely. Only recently have large series of successful pineal area operations been reported, and there are many advocates for surgical reticence with these tumours. We report a case of a 20-year-old woman whose pineal region tumour was irradiated, whereupon a unilateral low-frequency resting and intention tremor developed. Following resection of the lesion, a vascular hamartoma, the tremor virtually disappeared. We believe the tremor was secondary to radiation induced tumour shrinkage and distortion of the mesencephalon. This case is a demonstration of the importance of exploration and histological verification of pineal region tumours.
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References
Edner G (1981) Stereotactic biopsy of intracranial space occupying lesions. Acta Neurochir (Wien) 57: 213–234
Frank F, Gaist G, Piazza G, Ricci R, Sturiale C, Galassi E (1985) Stereotaxic biopsy and radioactive implantation for interstitial therapy of tumors of the pineal region. Surg Neurol 23: 275–280
Ganti SR, Hilar SK, Stein BM, Silver AJ, Mawad M, Sane P (1986) CT of pineal region tumors. AJNR 7: 97–104
Hallett M (1986) Differential diagnosis of tremor. In: Vinken PJ, Bruyn GW, Klawans HL (eds) Handbook of clinical neurology, Revised Series 5, vol 49. Elsevier Science Publishers, Amsterdam, pp 583–595
Herrick MK (1985) Pineal tumors: Classification and Pathology. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill Book Company, New York, pp 674–680
Marsh WR, Laws ER (1984) Shunting and irradiation of pineal tumors. In: Little JR (ed) Clinical neurosurgery, vol 32. Williams and Wilkins, Baltimore, pp 384–396
Pecker J, Scarabin J, Vallee B, Brucher J (1979) Treatment in tumours of the pineal region: value of stereotaxic biopsy. Surg Neurol 12: 341–348
Pendl G (1985) Pineal and midbrain lesions. Springer, Vienna
Russell DS, Rubinstein LJ (1989) Pathology of tumours of the nervous system. Williams and Wilkins, Baltimore
Shmidek HH, Waters A (1985) Pineal Masses: Clinical features and management. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw Hill Book Company, New York, pp 688–693
Stein BM (1982) Tumors of pineal region. In: Youmans JR (ed) Neurological surgery. W. B. Saunders, Philadelphia, pp 2863–2871
Vaquero J, Carrillo R, Cabezudo J, Leunda G, Villuoria F, Bravo G (1980) Cavernous Hemangiomas of the Pineal Region. J Neurosurg 53: 833–835
Zimmerman RA (1985) Pineal region masses: Radiology. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill Book Company, New York, pp 680–687
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Pomeranz, S., Shalit, M. & Sherman, Y. “Rubral” tremor following radiation of a pineal region vascular hamartoma. Acta neurochir 103, 79–81 (1990). https://doi.org/10.1007/BF01420197
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DOI: https://doi.org/10.1007/BF01420197