Cavernoma in the pineal region: A case report

Pineal region cavernoma is a rare diagnosis comprising <1 % of all cerebral cavernous malformations with female preponderance. These vascular malformations are benign and curable compared to other lesions in the region.

A 40-year female presented with bilateral temporal headache and multiple episodes of vomiting and was diagnosed as pineal cavernoma. She was managed effectively with a ventriculoperitoneal shunt for hydrocephalus.

MRI provides an effective and accurate diagnosis in cavernous lesions of pineal region. Pineal cavernoma has higher risk of rebleeding and can cause acute obstructive hydrocephalus. Treatment of hydrocephalus is necessary if the surgical treatment is not possible.

This case report highlights the importance of early diagnosis and an option for palliative approach of management of pineal cavernoma.