J Clin Neurol.  2017 Oct;13(4):429-431. 10.3988/jcn.2017.13.4.429.

Isolated Trochlear Palsy Due to Pilocytic Astrocytoma Involving the Pineal Gland

• Lim SH
• Lee ES
• Choi JY
• Kim JS

• KMID: 2392142
• DOI: http://doi.org/10.3988/jcn.2017.13.4.429

Abstract

No abstract available.

MeSH Terms

Astrocytoma*
Paralysis*
Pineal Gland*

Figure

• 

  Fig. 1 Eye movements, head posture, and MRIs of the patient. A: Gaze photographs showing left hypertropia that increases during rightward and downward gazes, and during leftward head tilt. B: Gadolinium-enhanced sagittal MRI showing a well-circumscribed pineal tumor extending from the pineal region. C: Gadolinium-enhanced axial MRI shows compression of the tectum in the midbrain.

Reference

1. Burger PC, Scheithauer BW, Paulus W, Szymas J, Giannini C, Kleihues P. Pilocytic astrocytoma. In : Kleihues P, Cavenee WK, editors. Pathology and genetics of tumors of the nervous system. Lyon: IARC Press;2000. p. 45–51.

2. Gupta RK, Batra VV, Jagetia A, Singh D. Pineal region pilocytic astrocytoma; an unusual site with variable radiological, clinical, and histological features: a report of two cases. J Neurosci Rural Pract. 2016; 7:459–462. PMID: 27365971.

3. Krohel GB, Mansour AM, Petersen WL, Evenchik B. Isolated trochlear nerve palsy secondary to a juvenile pilocytic astrocytoma. J Clin Neuroophthalmol. 1982; 2:119–123. PMID: 6226694.

4. Donat JF, Okazaki H, Gomez MR, Reagan TJ, Baker HL Jr, Laws ER Jr. Pineal tumors. A 53-year experience. Arch Neurol. 1978; 35:736–740. PMID: 718471.

5. Magrini S, Feletti A, Marton E, Longatti P. Gliomas of the pineal region. J Neurooncol. 2013; 115:103–111. PMID: 23820809.