The tumor's effect on the hypothalamus will lead to weight gain, disruption of sleep, disruption of temperature control, and water regulation. Cerebellar involvement would result in motor impairment. [wikidoc.org]

[…] patients with pineal tumor treated either by stereotactic biopsy followed by adjuvant therapy (23 patients) or open surgical resection without (18 patients) or with (7 patients) adjuvant therapy in Shohada Tajrish Hospital, Iran (1993-2008)... 2016: Turkish [read.qxmd.com]

Recurrence In February 2009, the patient returned to clinic complaining of bilateral resting tremors and left hand numbness over the previous year, progressive low back pain and sciatica-like pain running down her left leg into her left foot for the past [pagepress.org]

[…] in maloriented specimens. b) Pineal parenchymal tumors: Pineoblastoma, Pineocytoma (c) Embryonal Tumors: Medulloblastoma Possible differential diagnosis of DEP include blow-out fracture of the orbital floor, congenital or acquired fibrosis, endocrine myopathy [medical-dictionary.thefreedictionary.com]

Mass lesions in the region of the pineal gland can produce monocular blepharoptosis and supranuclear upgaze paresis with the resultant clinical picture of double elevator palsy. [ncbi.nlm.nih.gov]

Sleepiness Irritability Personality changes Double vision Trouble coordinating motor movements Difficulty walking Slowed growth Staging The staging work-up for pineal tumors include Contrast-enhanced MRI of the brain and the entire spine. [wikidoc.org]

Two days after the placement of the ventriculoperitoneal shunt, he suddenly became stuporous and Parinaud's sign appeared. [ncbi.nlm.nih.gov]

Recurrence In February 2009, the patient returned to clinic complaining of bilateral resting tremors and left hand numbness over the previous year, progressive low back pain and sciatica-like pain running down her left leg into her left foot for the past [pagepress.org]

On neurologic examination, he had apraxia of eyelid opening, vertical supranuclear gaze palsy, dysarthria, and dysphagia. There was facial hypomimia, moderate axial rigidity, symmetrical bradykinesia, and no tremor. [neurology.org]

There was facial hypomimia, moderate axial rigidity, symmetrical bradykinesia, and no tremor. Gait was characterized by freezing and postural instability. Cognitive assessment was normal. [neurology.org]