A 5-month-old male patient presented with obstructive hydrocephalus caused by pineal cyst apoplexy. Ventriculoperitoneal shunt surgery was performed for hydrocephalus treatment. During follow-up, spontaneous shrinkage of the cyst was observed. At 24 months of follow-up, no complications were reported. Pediatric cases of pineal cyst apoplexy are rare, and little is known about its conservative management. This case report emphasizes the effectiveness of conservative treatment and close monitoring, aiming to contribute to the understanding of pineal cyst apoplexy management in the pediatric population.
Keywords: Hydrocephalus; Pediatric neurosurgery; Pineal apoplexy; Pineal cyst; Pineal cyst hemorrhage.
© 2025. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.