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It is often encountered as an incidental finding. Most pineal cysts are benign and asymptomatic. Bleeding inside these cysts is rarely encountered in pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical presentation<\/jats:title>\n                    <jats:p>A 30-year-old female patient with no significant past medical history, presented to the emergency department at 36 weeks gestation with a transient episode of unilateral headache. Headache was associated with dizziness and left arm ascending numbness. She has a history of a known pineal cyst. The neurological examination was normal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Investigations<\/jats:title>\n                    <jats:p>CT head was obtained, reviewed and compared to previous scans 7 years ago. It showed a hemorrhage inside the pineal cyst .<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Management<\/jats:title>\n                    <jats:p>The patient was admitted to the neurosurgery department for conservative management and a few days later, symptoms gradually improved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Follow-up<\/jats:title>\n                    <jats:p>Three weeks later, the patient reported spontaneous improvement of the presenting symptoms. The decision was to proceed with continued watchful follow-up and awaiting a caesarian delivery. The patient returned for a follow-up three months later without any symptoms. Following delivery, the patient remained asymptomatic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pineal cyst apoplexy is a relatively rare condition and it usually affects young females, however, the exact relation to pregnancy and the effect of apoplexy on the course of pregnancy are not well defined.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12883-024-03922-7","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T06:35:26Z","timestamp":1747290926000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pineal cyst apoplexy in a pregnant female: case report and review of literature"],"prefix":"10.1186","volume":"25","author":[{"given":"Mohammed A.","family":"Azab","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oday","family":"Atallah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Hazim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nour","family":"El-Gohary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamed","family":"Mostafa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,15]]},"reference":[{"issue":"2","key":"3922_CR1","doi-asserted-by":"publisher","first-page":"223","DOI":"10.3171\/jns.1976.45.2.0223","volume":"45","author":"ML -Apuzzo","year":"1976","unstructured":"Apuzzo ML, Davey LM, Manuelidis EE. 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