Pineal Apoplexy: Imaging Diagnosis and Follow-up of Three New Cases
Bibliographic record
Abstract
Cystic lesions on the pineal gland are a common phenomenon, being found on up to 40% of autopsy cases 1 .However, symptomatology as a result of these cysts is considerably rare.Mukherjee, Banerji and Sharma identified 74 cases in the literature 1 .Symptomatic pineal cysts present as one of three syndromes identified by Wisoff and Epstein 2 : (1) paroxysmal headache with gaze paresis, (2) chronic headache, gaze paresis, papilledema and hydrocephalus, and (3) pineal apoplexy with acute hydrocephalus.Pineal apoplexy is understood as an acute presentation of hemorrhage within a pineal cystic lesion.Of the three syndromes pineal apoplexy is the rarest and while poorly understood, can have the most catastrophic of consequences, resulting in sudden death 3 .Herein we report three cases with clinical and imaging findings suggestive of pineal gland apoplexy in the context of a discussion of the relevant literature.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.005 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".