Pineal gland cyst

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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W8MD medical weight loss NYC and sleep center NYC

Pineal gland cyst
Sagittal MRI showing a pineal gland cyst
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Often asymptomatic, but can include headache, nausea, vomiting, visual disturbances
Complications	Hydrocephalus, Parinaud's syndrome
Onset	Typically detected in adulthood
Duration	Can be chronic
Types	N/A
Causes	Unknown, possibly congenital
Risks	Rarely associated with neoplasms
Diagnosis	MRI, CT scan
Differential diagnosis	Pineal tumor, arachnoid cyst, epidermoid cyst
Prevention	N/A
Treatment	Usually observation, surgical intervention if symptomatic
Medication	N/A
Prognosis	Generally benign
Frequency	Found in up to 10% of autopsy studies
Deaths	N/A

File:Microsurgical resection of a pineal cyst.webm

Pineal gland cyst

Pineal gland cyst

Pineal Gland Cyst is a benign (non-cancerous) cyst located in the pineal gland, a small endocrine gland in the brain. The pineal gland produces melatonin, a hormone that plays a crucial role in regulating sleep patterns and circadian rhythms. Pineal gland cysts are typically discovered incidentally during magnetic resonance imaging (MRI) scans conducted for other reasons, as they often do not cause symptoms.

Symptoms

In most cases, pineal gland cysts are asymptomatic and do not affect the gland's function or lead to health issues. However, in rare instances, large cysts may cause symptoms due to pressure on adjacent structures in the brain. These symptoms can include:

• Headaches
• Visual disturbances
• Vertigo or dizziness
• Sleep disturbances
• Hydrocephalus (accumulation of fluid in the brain), in very rare cases

Diagnosis

Pineal gland cysts are usually diagnosed through brain imaging techniques, with MRI being the most detailed method to visualize the cyst's size, shape, and exact location. Computed tomography (CT) scans may also be used but are less detailed than MRIs.

Treatment

Treatment for pineal gland cysts is often not necessary unless the cyst is large and causes symptoms. In such cases, treatment options may include:

• Monitoring with regular MRI scans to check for changes in the size of the cyst
• Medication to manage symptoms such as headaches or dizziness
• Surgical removal of the cyst, in rare cases where it causes significant symptoms or hydrocephalus

Prognosis

The prognosis for individuals with pineal gland cysts is generally excellent, as these cysts are benign and rarely cause symptoms or require treatment. Regular monitoring is recommended to ensure that the cyst does not grow significantly.

Epidemiology

Pineal gland cysts are relatively common, with studies suggesting that they are present in 1.5% to 10.8% of the general population. They are more frequently diagnosed in young adults and are slightly more common in females than in males.

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