pineal gland cyst

[alley27]

Ifound out about six months ago that i have a pineal gland cyst, Here in the last 2 weeks i have had a nonstop headache, but the past couple of  days it has been severe and over the counter meds arn't helping. It is starting to make me sick to my stomach and i have been getting dizzie, should I be concerned?  What do I do?

[doctornee medical]

Hi
Thanks for writing to the forum!

I would need some more medical details before I can really help you out. First of all, was MRI or CT scan of brain done? If yes, then why?  Headaches? Pineal gland cysts are usually asymptomatic. Infact, it is rare for them to cause any symptoms. Your headaches are not due to this cyst. They can be due to migraine or tension headaches.

Dizziness and feeling sick in stomach could be due to over the counter pain medications you are taking. First of all you can take some antacids to get relief from these acidity symptoms. Then you should get an appointment with your doctor and get yourself investigated. You could also be having high blood pressure. Headaches could be due to high blood pressure. The cause for headaches need to be investigated.
Please let me know if there is any thing else and do keep me posted. Take care!

[margo1966]

I have to disagree about the pineal cyst not being the cause of the headaches.  While there isn't really a way to know for certain, there are many, many people with pineal cysts who will confirm that they can cause severe headaches, along with other problems.  Yes, "most" pineal cysts are asympotomatic.  But once they reach a certain size, they can start causing problems.  

[ChapaulEire]

The Medical Community simply dont know how to treat a Pineal Gland Cyst.They will lie to you and tell you it is incidental.You will be made to feel as if you are a drug addict and a Hypochondriac.My wife was diagnosed with this Cyst exactly a year ago and We are still in the same position We were in then! I am so angry I could literally throw our Neurologist from the top story of our hospital.There is something SPECIAL about this Gland and the Doctors know it.Do a little research into the Mystical properties of this Gland and you will be very surprised.An English Author and Documentary film maker Philip Gardinar wrote a book called "THE SHINING ONES" with some fascinating information in the 2nd chapter about the Pineal Gland.Please read this and then think about why your Neurologist is so vague and dismissive with you.Its an absolute disgrace the way We have been treated and going by the similar comments on this Forum We are being dismissed and given the run around.Remember People We are all special and entitled to fair medical treatment.Dont just go home and suffer the agonizing pain of this condition,thinking Your Doctor is some kind of god.Push them for an answer and get the respect you are due.I sincerely hope you find some form of relief and will keep you all in Our Prayers.My wife has been given Propranolol,Amytriptimine,Morphin,Codein,Proclooperazine.Prozac,Diazepam you name it We've tried it!!Good luck

[ycompanys]

Neurologists may be very quick to tell you that you are fine with a pineal cyst and that it is not causing your symptoms.  But beware:  1) Doctors in general don't really understand what the pineal gland does; and 2) Some don't seem to understand the difference between symptomatic and asymptomatic pineal glands and tell their patients not to worry about pineal cysts.

Some things to keep in mind, according to the medical literature:

1) The most common symptom is headaches, followed by vision problems and dizziness, and in some cases insomnia, nausea and cognitive deficits, particularly if cognitive deficits are involved.  More rare is numbness and tingling.  In extreme cases, pineal cysts can result in loss of consciousness and seizure disorder.  So please take this seriously, particularly if the cyst is causing intracranial pressure such as hydrocephalus.
2) Pineal cysts can be symptomatic if they are larger than 0.5 cm.  Problems occur when the cysts cause compression in the brain, or when they are associated with apoplexy or hydrocephalus.
3) Radiologists cannot easily distinguish between cysts and benign tumors, often leading to misdiagnosis.  NOTE:  A benign tumor is not metastatic, not malignant.  It is extremely, extremely rare to get a malignant, metastatic tumor in the pineal gland, so please do not worry about this unless your radiologist/doctor has told you otherwise.
4) It is common that patients are told that the pineal cyst cannot be affecting them after a neurological test.  But note that some patients present no neurological symptoms in these tests, while still having the symptoms in 1) above.
5) If you are in the 18-34 age group, your cyst can grow, so you should get MRIs every 3-6 months.  If your doctor does not want to, get a new doctor.
5) If you have to get surgery, get the following one but only if you have compression or hydrocephalus and your symptoms are incapacitating:  Suboccipital craniotomt with infratentorial-supracerebellar approach and microsurgical resection of pineal cyst.  Contrary to what is stated above, this is NOT brain surgery.  They access your pineal region from beneath the brain, so they do not affect your brain at all.  It sounds like a scary procedure but is actually straightforward for a good brain neurosurgeon.  The surgeon essentially inserts a microscopic endoscope that magnifies the area by 50x and uses a navigation system to get him there.  It is minimally invasive.  The medical literature says that most patients whose pineal cysts are not too large (e.g., < 4.5 cm) become completely asymptomatic after surgery.  The surgery entails a 6-8 week recovery, and a small incision in the head and removal of skull bone, which grows back after surgery.  The biggest risk associated with surgery is infection, as with any other surgery.

The most important thing is to get a doctor who takes your pineal cyst seriously.  It is a rare disorder, and few doctors understand it well.  So you will need to be persistent.

Good luck.