• World Neurosurg · Dec 2018

    Case Reports

    Retinal alteration associated with an arachnoid cyst of the pineal region.

    • Ana Banc and Ioan-Ştefan Florian.
    • Department of Ophthalmology, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania. Electronic address: ana.banc@umfcluj.ro.
    • World Neurosurg. 2018 Dec 1; 120: 420-422.

    BackgroundRetinal optical coherence tomography (OCT) is a noninvasive high-resolution imaging technique, which is considered a biomarker of neurodegeneration. Several intracranial lesions can induce retrograde neurodegeneration which can be assessed using OCT. The cysts of the pineal region are usually asymptomatic and most often are an incidental radiologic finding.Case DescriptionWe describe the case of a 50-year-old woman with an arachnoid cyst of the pineal region who complained of visual symptoms for 3 months. Bilateral macular thinning was demonstrated by OCT both on the preoperative and postoperative examinations, without any other clinical findings that could explain the results.ConclusionsWe suggest that the retinal alteration is caused by retrograde neurodegeneration secondary to the pineal region mass.Copyright © 2018 Elsevier Inc. All rights reserved.

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