Pineal Gland Mass Causing Severe Papilledema

The pineal gland is a neuroendocrine gland that resides in the epithalamus, at the root of the third ventricle. Due to its close proximity to the ventricles, masses in the pineal region can lead to obstruction of the flow of cerebrospinal fluid and subsequent raised intracranial pressure. Here, we present a case in which a patient with a pineal gland mass presents with severe papilledema and distinct fundus findings of obscured disc margins, peripapillary hemorrhages, exudates, and tortuous and dilated retinal veins.