Pineal tumours

Clinical features associated with pituitary stalk and pineal region lesion

  • Failure to thrive
  • Growth failure
  • Diabetes insipidus
    • Preop DI unusual in craniopharyngioma
    • But common in germ cell tumours involving anterior third ventricle, histiocytosis
  • Delayed puberty
  • Diencephalic syndrome
  • Rarely hypersecretory endocrine fxn
  • Visual problems
  • Parinaud eye signs
- Supranuclear upgaze palsy
- Large pupils with light-near dissociation
- Lid retraction (Collier sign)
- Supranuclear upgaze palsy
- Large pupils with light-near dissociation
- Lid retraction (Collier sign)
- Normal downgaze
- Convergence weakness
- Convergence-retraction nystagmus
- Normal downgaze
- Convergence weakness
- Convergence-retraction nystagmus