A 3-month-old infant with infantile spasms and hypsarrhythmia associated with multiple pineal cysts and an ependymal cyst is reported from Marmara University Medical Center, Istanbul, Turkey. Despite total surgical resection of the cysts, spasms persisted. 
COMMENT. The authors considered the cysts to be coincidental and not the cause of the infantile spasms. Although ACTH was administered - post-operatively - the response was not noted.