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Published on: June 28, 2024
[Relationship between pineal cysts and central precocious puberty]
Z García Amorín1, C Rodríguez Delhi, L Soriano Guillén
1Servicio de Pediatría, Hospital Valle del Nalón, Servicio de Salud del Principado de Asturias (SESPA), Asturias, España.
Insights
Central precocious puberty (CPP) in girls was associated with asymptomatic pineal cysts larger than 5x5 mm. Treatment with GnRH agonists resolved puberty symptoms, with pineal cysts remaining stable or disappearing in some cases.
Area of Science:
- Pediatric Endocrinology
- Neuroimaging
- Clinical Pediatrics
Background:
- Central precocious puberty (CPP) is a condition characterized by early onset of puberty.
- Pineal cysts are common incidental findings on brain imaging.
- The relationship between CPP and pineal cysts is not well understood.
Observation:
- A retrospective study identified four girls aged 2-7 years with CPP and asymptomatic pineal cysts (>5x5 mm on MRI).
- Patients had no other significant medical conditions.
- Pubertal symptoms were treated with gonadotropin-releasing hormone (GnRH) agonists.
Findings:
- GnRH agonist treatment led to regression of pubertal symptoms in all patients.
- Pineal cysts remained unchanged in three patients during follow-up imaging.
- One patient experienced complete resolution of the pineal cyst after four years.
Implications:
- This study describes the clinical characteristics and outcomes of CPP patients with pineal cysts.
- The findings suggest that pineal cysts may be associated with CPP but do not necessarily require intervention.
- Further research is needed to elucidate the potential mechanisms linking pineal cysts and CPP.
Objective:
To describe clinical characteristics of patients with central precocious puberty (CPP) and pineal cyst, whose causal relationship remains unknown.
Method:
An observational, multicentre, and retrospective study of patients with CPP and pineal cyst was carried out.
Results:
We recorded four girls, aged between 2-7 years, diagnosed with CPP, without other medical problems, with the finding of an asymptomatic pineal cyst bigger than 5 x 5 mm in Magnetic Resonance Imaging (MRI). All of them were treated with GnRH agonists with regression of pubertal symptoms. Three of the patients had no changes on pineal cyst follow up with successive imaging. In the other, the pineal cyst disappeared after four years.
Comments:
We review the epidemiological data and clinical evolution of pineal cysts and the possible mechanisms involved in central precocious puberty.
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