pineal cyst

i have been having migraines for the past three years they are severe in a recent mri they found a pineal cyst on my brain it is 1.2cmX7CMX4CM which from what i understood was large plus i have frequent spurts of nausea and vomiting and was just diagnosed with idiopathic hypersomnia i belive the cist is what is causing the pressure in my head but i saw the nero surgeoun yesterday and like all the post i've found he dsmissed me and told me that wasnt the cause of my problems so what is i need help i have two little girls to raise by myself and i have a hard time getting out of bed most days!! Oh by the way i'm only twenty three and sine i had my youngest she is 13 months in two days i havnt stopped bleedig my iron level is for i've read that the pineal gland controls that hormone to help please!!!!!!!!!!!!!!!!!

[Christopher R Newey, DO]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

Pineal cysts are usually incidental findings on MRI. They are typically small and asymptomatic. It would be important to make sure there is no abnormal enhancement of this region to rule out neoplasm. Cysts are typically left alone and monitored with serial MRIs.

I would recommend that you see your primary care physician and possibly a headache specialist. You may have a treatable headache disorder such as migraine.
Without further information about your headache, it is difficult to provide you with adequate information. However, it is important for you to understand that if you have not experienced headaches in the past and you are now having new head pains, seeing a neurologist is a good idea, just to make sure there is nothing serious causing this pain. Imaging of the brain and sometimes then neck may be indicated depending on your exact symptoms, your physical examination, and other factors.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.