Pineal Apoplexy Presenting With Recurrent Migraine-Like Headache and Transitory Neurological Dysfunction During Pregnancy.

that slight psychomotor slowing. brisk reflexes in the left arm an ipsilateral Babinski sign with a slight left pronator drift, but muscle strength was preserved. She also exhibited a decreased response to pinprick on the left side. There no oculomotor nerve palsy or papilledema. a cystic pineal gland with a maximum diameter of 1.2 cm, which hyperintense in T2-weighted/fluid-attenuated inversion recovery (FLAIR) images, without significant locoregional mass effect associated acute hydrocephalus. This lesion internal blood–fluid level was slightly hyperintense T1-weighted in T2-weighted/FLAIR images, with early sub-acute hemorrhage. In susceptibility-weighted angiography (SWAN) image the hematic component was demonstrated by an area of a signal void (blooming These fea-tures were compatible with the diagnosis of in previously cystic