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Pineal Gland Cyst


Presentation

  • 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]
  • Uncommon clinical presentations in three cases were related to increased cyst size caused by hemorrhage, sudden death, and postural syncope and loss of consciousness.[ncbi.nlm.nih.gov]
  • 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: January 31, 2019[patientslikeme.com]
  • We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: May 29, 2019[patientslikeme.com]
  • […] 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, fatigue[en.wikipedia.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]
Nausea
  • 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]
  • 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 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]
  • Pineal cyst apoplexy is a very rare entity with previously reported symptoms of severe frontal or occipital headache, gaze paresis and visual field defects, nausea or vomiting, syncope, ataxia, hearing loss and sudden death.[ncbi.nlm.nih.gov]
  • 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]
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]
Conjunctival Hyperemia
  • During these attacks he also suffered from allodynia over the scalp, bilateral conjunctival hyperemia, and nervousness. His brain MRI showed a 5mm by 4mm neuroepithelial cyst in the pineal gland.[ncbi.nlm.nih.gov]
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
  • Abstract 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]
  • Abstract Pineal cysts are usually asymptomatic; however, they may rarely cause symptoms such as chronic headache, paroxysmal headache with gaze paresis, postural syncope, loss of consciousness, and sudden death.[doi.org]
  • 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]
  • Deaths from colloid cysts and pineal gland cysts are rare, but should be considered where no other cause of death is evident, especially with a history of headaches.[ncbi.nlm.nih.gov]
  • 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]
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]
  • […] al. found a frequency of 23% in brain scans (with a mean diameter of 4.3 mm).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]
  • […] 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]
  • […] 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
  • 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 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]
Papilledema
  • Symptoms include: • headache • nausea • papilledema • diplopia • vertical gaze paralysis • seizure • ataxia • hemiparesis Radiolographic findings: On CT: • sharply defined wall • hypodense to CSF • calcification in cyst wall in half of cases • if present[radrounds.com]
  • 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]
  • 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[doi.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]

Workup

  • Measurement of AFP and b-hCG in serum and CSF is routine in the preoperative workup.[aboutcancer.com]
Ischemic Changes
  • Microvascular ischemic change is a possibility". I also have a 5 mm pineal cyst. What does this mean? My doc says that the cyst would not cause my symptoms and he is not concerned about the report.[healthcaremagic.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]
  • SRS is increasingly being used to treat pineal region tumors, either as an additional therapy after conventional treatments or as a primary treatment.[wikidoc.org]
  • 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]

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]
  • […] postcontrast imaging is delayed (60-90 min), gadolinium may diffuse into the cyst fluid and may lead to the mass appearing solid in atypical cases enhancement may be nodular, or there may be evidence of previous hemorrhage into the cysts Treatment and prognosis[radiopaedia.org]

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]
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]

Prevention

  • 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]
  • Cysts related to infections can be preventable, however most cysts are not. While the majority of cysts are asymptomatic, they can still produce symptoms to the organs in which they are located.[ksat.com]

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