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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The presentation of pinealomas is usually within the first three decades of life.

Features may be categorised into:

  • mass effects - hydrocephalus and raised intracranial pressure following obstruction at the posterior part of the third ventricle. Pressure on the midbrain tectum produces Parinaud's ophthalmoplegia.

  • effects secondary to spread through the third ventricle - hypothalamic disturbances, e.g. diabetes insipidus, precocious puberty, hypopituitarism, hypo/hyperphagia - and optic chiasmal involvement leading to visual field defects.

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