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Pineal Gland Cyst


Presentation

  • This was 11ot found to be the case in the present series.[embryology.med.unsw.edu.au]
  • There is agreement that surgical intervention should be undertaken in patients presenting with hydrocephalus, progression of neurologic symptoms, or cyst enlargement.[ncbi.nlm.nih.gov]
  • Only one patient presented with syncopal attack due to compression of the midbrain. MRI typically reveals a cystic mass with a mean diameter of 1.66cm and shows faint rim-like contrast enhancement.[jkns.or.kr]
  • In three cases presenting with headache, compression of the vein of Galen was identified, and compression of the quadrigeminal plate was demonstrated in five cases. No patients presented with both pineal and quadrigeminal lesions.[link.springer.com]
Fatigue
  • I have a pineal cyst like most of you, with a lot of the same symptoms (fatigue, vision problems, trouble sleeping, pressure headaches, problems with my short term memory, irritability).[steadyhealth.com]
  • Walking up the stairs I was easily fatigued.[pinealglandcystsurgery.com]
  • We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: November 30, 2018[patientslikeme.com]
  • We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: November 23, 2018[patientslikeme.com]
  • Pineal cyst symptoms mentioned on various online forums include: severe fatigue, dizziness, memory loss, excruicating headaches and eye pain, migranes, worsening depression, mood swings, neck pain, jaw pain, numbness on side of face, brain fog, blurred[medhelp.org]
Weakness
  • Customer: She said it could be just a weak muscle neuromd2012 : very good.[justanswer.com]
  • I was having all kinds of weird neurological symptoms last fall...strong pressure in my head, dizziness, weakness, headaches, etc. MRI showed nothing but a 6mm pineal cyst.[healthboards.com]
  • […] believed that smaller cysts (less than 5.0 mm) were usually asymptomatic, but for larger cysts (greater than 5.0 mm), symptoms could include headache, unexpected seizures, visual disturbances, memory loss, cognitive decline, muscle fasciculations, nausea, weakness[en.wikipedia.org]
  • She has been very weak from not being able to eat and drink and it’s also caused a lot of emotional frustration. She is ready to feel better and move on with all of this. She is also tired from lack of sleep the last few days.[annaelizmon.wordpress.com]
Weight Loss
  • Hi yes I have a pineal cyst 7.3 & I have a constant headache balance probs blurred vision and weight loss also very tired , I'm going to a neorologist on 20april and having to pay as the nhs waiting list is 10 weeks!![thestudentroom.co.uk]
  • Sub-Forums : Breast/Ovarian/Cervical Cancer today is the day by eva5667faliure 11-19-2018 05:22 AM 356 1,736 Weight Loss & Healthy Living For weight loss and healthy living discussions. mild concussion and weightloss by swampmonster14 11-09-2018 03:17[neurotalk.psychcentral.com]
Dutch
  • Nederlands Tijdschrift Voor Geneeskunde (in Dutch). 147 (47): 2327. PMID 14669539 . Gore, Pankaj A.; Gonzalez, L. Fernando; Rekate, Harold L.; Nakaji, Peter (2008).[en.wikipedia.org]
Nausea
  • Nausea. Oh man, the nausea. I do have a very sensitive stomach but it would have been good to have a heads up that Dr. Shaianian actually expects extreme nausea after surgery.[annaelizmon.wordpress.com]
  • If narrowing of the cerebral aqueduct occurs, many neurological symptoms may exist, including headaches, vertigo, nausea, muscle fasciculations, eye sensitivity, and ataxia .[en.wikipedia.org]
  • If narrowing of the aqueduct of sylvius occurs, many neurological symptoms may exist, including headaches, vertigo, nausea, eye sensitivity, and ataxia.[medhelp.org]
  • Hydrocephalus symptoms include: headaches, vomiting , nausea, convulsions, lethargy and papilledema, a condition in which the optic disks accumulates excessive amounts of watery fluid.[epainassist.com]
Vomiting
  • The pineoblastoma was asymptomatic in 2 patients and symptomatic with vomiting and headache in 2 patients.[ncbi.nlm.nih.gov]
  • Hydrocephalus symptoms include: headaches, vomiting , nausea, convulsions, lethargy and papilledema, a condition in which the optic disks accumulates excessive amounts of watery fluid.[epainassist.com]
  • Head pain, dizziness and vomiting may occur, as well as sight problems such as blurred or double vision and loss of eye movement. *Excerpt From WiseGEEK Website. I do not have anything like this myself.[healthunlocked.com]
  • Also if headache or discomfort in head is associated with vision problems or vomiting it could be due to pineal cyst and you may require MRI to confirm...[healthcaremagic.com]
  • A core list of established medical symptoms include: headache hydrocephalus nausea and vomiting visual problems light sensitivity lack of muscle coordination lethargy vertigo sleep problems coma In addition to the above, there are also some core anecdotal[hubpages.com]
Photophobia
  • These types of issues include overstimulation problems, fatigue, headaches, memory problems, anxiety, depression, photophobia and many other symptoms can occur. For me, I mainly experience these problems when I am over tired or stressed out.[mypinealcyst.com]
Tinnitus
  • […] mm) were usually asymptomatic, but for larger cysts (greater than 5.0 mm), symptoms could include headache, unexpected seizures, visual disturbances, memory loss, cognitive decline, muscle fasciculations, nausea, weakness, fatigue, light sensitivity, tinnitus[en.wikipedia.org]
  • Robb09 Member Location: Canada Tinnitus Since: 3/2015 Cause of Tinnitus: buzzing shaver/laptop fan whine/pellet gun/music/caff/wax/ eardrum red How are you doing nowadays @Matty ? Hope all is well.[tinnitustalk.com]
Headache
  • The cyclic nature of some of headache disorders is closely related to melatonin, which is secreted by the pineal gland. We report a 29-year-old male patient with a 2.5-year history of headaches that woke him in the middle of the night.[ncbi.nlm.nih.gov]
  • Since your headaches might not be due to the pineal gland cyst, discuss with your doctor other possible causes for your headaches. A variety of primary headache and medical conditions can lead to chronic headaches.[newsnetwork.mayoclinic.org]
  • My daughter was in a car accident a few years ago and since then she has had headaches .But really awful ones in last year .To make a long story short she did have surgery on neck to replace dics's closest to her neck .Headaches are still there ..she[csn.cancer.org]
  • This was when the headaches started getting worse, coming back a couple hours after taking the Advil. I went to my local doctor and was prescribed Butal (Fioricet) for my headaches, and was told to take 2 pills every 4-6 hours as needed.[mypinealcyst.com]
Seizure
  • We report a new complication of intracystic hemorrhage in a large pineal gland cyst in a 40-year-old man with new onset seizures.[ncbi.nlm.nih.gov]
  • […] headaches and eye pain, migranes, worsening depression, mood swings, neck pain, jaw pain, numbness on side of face, brain fog, blurred vision, worsening eyesight, eye floaters, insomnia, tingling and buzzing in head and body, mixing up words, grand mal seizures[medhelp.org]
  • […] found a frequency of 23% in brain scans (with a mean diameter of 4.3 mm). [1] It was once believed that smaller cysts (less than 5.0 mm) were usually asymptomatic, but for larger cysts (greater than 5.0 mm), symptoms could include headache, unexpected seizures[en.wikipedia.org]
  • […] cross-sectional diameter of 4.3 mm), with an insignificantly higher frequency for women over men. [1] These smaller cysts (less than 5.0 mm) are usually asymptomatic, but for larger cysts (greater than 5.0 mm), possible symptoms could include headache, unexpected seizures[research.omicsgroup.org]
  • I had a seizure back in September and subsequently was sent to a Neurologist to check for Epilepsy. They ordered a MRI and found a lobulated mass in my pineal gland. It's 1.4cm x 1cm x 1cm.[inspire.com]
Ataxia
  • A team of researchers recently set out to present their experience of the effect of a gluten-free diet in patients with ataxia and low levels of AGA antibodies m... gluten ataxia antigliadin antibodies celiac disease gluten sensitive enteropathy gluten[celiac.com]
  • Less frequently, patients present with ataxia, motor and sensory impairment, mental and emotional disturbances, epilepsy, circadian rhythm disturbances, hypothalamic dysfunction of precocious puberty, and recently described occurrence of secondary parkinsonism[ncbi.nlm.nih.gov]
  • If narrowing of the aqueduct of sylvius occurs, many neurological symptoms may exist, including headaches, vertigo, nausea, eye sensitivity, and ataxia.[medhelp.org]
  • If narrowing of the cerebral aqueduct occurs, many neurological symptoms may exist, including headaches, vertigo, nausea, muscle fasciculations, eye sensitivity, and ataxia .[en.wikipedia.org]
Tremor
  • […] nausea and vomiting visual problems light sensitivity lack of muscle coordination lethargy vertigo sleep problems coma In addition to the above, there are also some core anecdotal symptoms derived from forums with people with pineal gland cysts: fatigue tremors[hubpages.com]
  • Additional symptoms include memory problems, lack of coordination and tremor. Diagnosis Scans A magnetic resonance imaging (MRI) of the brain is the most important imaging study. It will show the location, size, and shape of the tumor.[neurosurgery.ucla.edu]
  • Yes, the "incidental pineal cyst", headache for 3 years straight, tremors, unbelievable pain (joint, muscle, spine, neck, knees, everywhere) that seems to move from place to place, dizziness, wobbliness, fatigue, nausea, gastro issues, can't think right[steadyhealth.com]
  • Other symptoms include memory problems, poor coordination and tremors. The diagnosis of a Pineal Region Tumor is best established by MRI scanning since it has better resolution compared to CT scan.[neurosurgerydallas.com]
  • He also said the tremors I was having in my arms and head was just my body's reaction to pain. I guess this is true since I only have them when the pain's severe.[healthboards.com]
Papilledema
  • Hydrocephalus symptoms include: headaches, vomiting , nausea, convulsions, lethargy and papilledema, a condition in which the optic disks accumulates excessive amounts of watery fluid.[epainassist.com]
  • Physical examination revealed mild papilledema and paralysis of upward gaze.[jaocr.org]
  • More advanced hydrocephalus can result in papilledema, gait disorder, nausea, vomiting, lethargy, and memory disturbance.[aboutcancer.com]
  • […] colliculi of the quadrigeminal plate and the aqueduct of the midbrain, producing hydrocephalus and clinical symptoms. 2 When present, the clinical symptoms include headache, vertigo, diplopia, blurred vision, hemiparesis, epilepsy, vomiting, bradycardia, papilledema[ajnr.org]

Workup

  • Measurement of AFP and b-hCG in serum and CSF is routine in the preoperative workup.[aboutcancer.com]
  • Therefore, a rigorous and uniform preoperative workup is a requisite for all patients thought to harbor a pineal region tumor. Any endocrine abnormalities should be investigated prior to surgery.[emedicine.medscape.com]
Slowing
  • In addition, secreted by the pineal gland substances can inhibit the synthesis of growth hormones, slow the growth and development of tumors.[allcysts.com]
  • I drove with that slow pace for about 20 kilometers until I got home. Couple of months ago before the surgery I had this kind of insecure feeling in elevator. It was some kind of vertigo.[pinealglandcystsurgery.com]
  • This is done for neurological purposes, so that they can closely monitor brain activity that most narcotics slow down. 3-12 weeks is the normal healing period. I did not know that pain could last up to 12 weeks, even with signs of improvement.[annaelizmon.wordpress.com]
  • A few days after surgery At the end of the second week, with sutures removed and clearance from the surgeon to travel home, my husband and I made the two-day drive back to Colorado where I began the long, slow process of healing.[graymatterstome.blogspot.com]
Seizure Activity
  • activity cognitive deficits *There are other symptoms that have only been named by one or two people, so I have left them off this list.[hubpages.com]

Treatment

  • The patient underwent oral melatonin treatment (6 mg/day). After 1 month he experienced a 70% reduction in his symptoms.[ncbi.nlm.nih.gov]
  • In most cases, no treatment is necessary for a pineal gland cyst. But your case should be carefully reviewed to make sure you have a pineal gland cyst and not a more serious disorder like a pineal gland tumor.[newsnetwork.mayoclinic.org]
  • Pineal gland cyst treatment and diagnostics The most common cyst is found by chance during magnetic resonance imaging. As for the treatment, everything depends on the nature of the disease and its causes.[allcysts.com]
  • Qi Gong I also looked at going to China for treatment. This is my next step if my current treatment doesn't work.[remedygrove.com]

Prognosis

  • Also Read: Pineal Cyst or Pineal Gland Cyst: Treatment, Recovery Period, Prognosis, Complications Pineal Cyst or Pineal Gland Cyst: Prevention, Social Security Disability, Coping[epainassist.com]
  • Extragonadal GCTs (including pineal region) have a poorer prognosis than gonadal GCTs.[aboutcancer.com]
  • Prognosis The response of tumours to various treatment modalities depends on the tumour subtype. [ 3 ] Generally, intracranial germinomas have an excellent prognosis on account of their sensitivity to radiotherapy (the five-year overall survival rate[patient.info]
  • A markedly worse prognosis was demonstrated for children aged 5 years or younger compared with older patients (5-year survival rate: 15% for children aged 5 yr vs 57% for children aged 5 yr).[emedicine.medscape.com]

Etiology

  • The underlying etiological association is unclear and this case exemplifies the enigmatic role of the pineal gland in puberty. Contributors : KVS, AV worked up the patient clinically.[indianpediatrics.net]

Epidemiology

  • Epidemiology, pathophysiology, and surgical approaches. 9:239–266 Google Scholar 15. Sano K, Matsutani M (1981) Pineal (germinoma) treated by direct surgery and postoperative irradiation. Child's Brain 8:81–97 Google Scholar 16.[link.springer.com]
  • Epidemiology [ 3 ] They account for 0.4-1% of adult intracranial tumours . They make up 3-8% of childhood intracranial tumours, with most occurring between the first and second decade of life.[patient.info]
  • Currently, initial surgical management for tissue diagnosis, and possible resection, is the standard of care for most children with pineal region tumors. [16] Epidemiology Pineal region tumors make up 0.4-1.0% of intracranial tumors in adults and 3-8%[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Epidemiology, pathophysiology, and surgical approaches. 9:239–266 Google Scholar 15. Sano K, Matsutani M (1981) Pineal (germinoma) treated by direct surgery and postoperative irradiation. Child's Brain 8:81–97 Google Scholar 16.[link.springer.com]
  • The pathophysiology of pineal region tumors is mostly a result of anatomic compression of adjacent structures, although local infiltration of neural structures can lead to symptoms in cases of highly invasive tumors.[emedicine.medscape.com]

Prevention

  • Answer: Oral contraceptives ("the Pill") are a very effective means of preventing pregnancy.[netwellness.org]
  • The wedge that you must sleep on 3 weeks after surgery to prevent brain bleeding.[annaelizmon.wordpress.com]
  • Also Read: Pineal Cyst or Pineal Gland Cyst: Treatment, Recovery Period, Prognosis, Complications Pineal Cyst or Pineal Gland Cyst: Prevention, Social Security Disability, Coping[epainassist.com]
  • Centers for Disease Control and Prevention says. Certain brain cysts, such as arachnoid cysts, can form later in life from causes other than developmental abnormalities.[livestrong.com]
  • He told me I have migraines that turned into daily headaches, and put me on a low dose of Topamax to prevent these.[medhelp.org]

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