PMC2964789_01
Preoperative brain computed tomography (CT) image showing a calcified cystic mass in the pineal gland (A)
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Upon admission, he was diagnosed with a pineal gland tumor on the basis of the physical examination and radiologic findings [Figure 1].
T1-weighted gadolinium-enhanced axial magnetic resonance (MR) images (B) showing an inhomogenous enhancing mass in the pineal gland
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The patient was noted to be lethargic postoperatively and, when a subsequent brain CT scan showed bilateral parietal EDHs, emergency craniotomy was performed for their removal [Figure 2].
Immediate postoperative brain CT showing acute EDHs in bilateral frontoparietal regions
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Follow-up brain CT after reoperation demonstrated the presence of small bifrontal EDHs [Figure 3].
Brain CT showing acute EDHs following reoperation in the bifrontal areas and pneumoventricle in bilateral frontal horns
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The headache, gait disturbance, and right hemiparesis improved following this and there has been no evidence of tumor recurrence during the 3-year follow-up period [Figure 4].