Presentation
The mean patient age at presentation was 28.7 years (range 15 to 46 years); 18 were female and six male. [thejns.org]
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]
Entire Body System
-
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]
We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: March 12, 2020 [patientslikeme.com]
Walking up the stairs I was easily fatigued. [pinealglandcystsurgery.com]
-
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 [youtube.com]
CONCLUSIONS: Pineal cysts can present with vague and unusual symptoms such as weakness, fatigue, depression, loss of appetite and weight loss that must be kept in the differential diagnosis. [n.neurology.org]
-
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]
CONCLUSIONS: Pineal cysts can present with vague and unusual symptoms such as weakness, fatigue, depression, loss of appetite and weight loss that must be kept in the differential diagnosis. [n.neurology.org]
Sub-Forums : Breast/Ovarian/Cervical Cancer today is the day by eva5667faliure 05-14-2019 05:14 AM 356 1,743 Weight Loss & Healthy Living (7 Viewing) For weight loss and healthy living discussions. mild concussion and weightloss by swampmonster14 11-09 [neurotalk.psychcentral.com]
Gastrointestinal
-
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. [youtube.com]
If narrowing of the aqueduct of sylvius occurs, many neurological symptoms may exist, including headaches, vertigo, nausea, eye sensitivity, and ataxia. [medhelp.org]
-
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]
Presenting features in 20 symptomatic cases included: headache in 19; nausea and/or vomiting in seven; papilledema in five; visual disturbances in five (diplopia in three, “blurred vision” in two, and unilateral partial oculomotor nerve palsy in one); [thejns.org]
Presenting features in 20 symptomatic cases included: headache in 19; nausea and/or vomiting in seven; papilledema in five; visual disturbances in five (diplopia in three, 'blurred vision' in two, and unilateral partial oculomotor nerve palsy in one); [mayoclinic.pure.elsevier.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]
Eyes
-
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]
Clinic, Warangal, India Correspondence to Dr Anirudda Deshpande, dr.anirudda.deshpande{at}gmail.com Statistics from Altmetric.com radiology neurology Description A 24-year-old female patient presented with acute-onset, vertex headache associated with photophobia [casereports.bmj.com]
She also had headache, photophobia, and phonophobia. Clinical and neurological examinations were unremarkable. [jcsm.aasm.org]
-
Visual Impairment
Symptoms in children and adults may include headaches, nausea, fatigue, visual impairments, double vision, memory problems, and seizures. In children, precocious puberty has been identified as a key indicator of a pineal tumor. [skullbaseinstitute.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]
-
Miosis
[…] anhydrosis (loss of sweat response on that side of the face) This is a common occurance with cluster headache and some forms of migraine neuromd2012 : neuromd2012 : so next time you get a headache, check out your eye in a mirror, do you have ptosis and miosis [justanswer.com]
Ears
-
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 [youtube.com]
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]
An ischemic mechanism can be hypothesized when neuroimaging exams do not show signs of hemorrhage, as happened in a case of a vanishing pineal gland in a girl after acute onset of headaches, vomiting, dizziness, and tinnitus described by Patriarca et [gs.amegroups.com]
Some symptoms without correlation to the disease such as epilepsy, hemifacial edema, tinnitus, cervicalgia, and sarcoidosis, were also encountered. [surgicalneurologyint.com]
Face, Head & Neck
-
Neck Swelling
Swelling of brain Same pain behind bridge of nose and eyes (gets better with each day) Blacking out episodes when pain heightens (more frequent post-op, but reassured by Dr. [annaelizmon.wordpress.com]
Psychiatrical
-
Denial
Yet part of me is like 'well people are dying left and right and while you *could* still from the tumor, it's not going to be tomorrow, so don't make such a big deal about it" Part of me I guess is squarely in denial. [inspire.com]
The Seventh Circuit United States Court of Appeals affirmed the district court’s upholding of the commissioner’s denial of the woman’s application for disability insurance benefits. See: Mitze v. [medicallawperspectives.com]
Neurologic
-
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]
The headaches might occur in three forms; chronic, unsteady headaches; short term, repetitive and gradual headaches, or persistent headaches. [epainassist.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]
(these seizures have started recently) and more. [gofundme.com]
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, visual disturbances, memory loss, cognitive decline, muscle fasciculations [youtube.com]
[…] 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]
[…] vomiting in seven; papilledema in five; visual disturbances in five (diplopia in three, “blurred vision” in two, and unilateral partial oculomotor nerve palsy in one); Parinaud's syndrome in two; hemiparesis in one; hemisensory aberration in one; and seizures [thejns.org]
-
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
Presenting features in 20 symptomatic cases included: headache in 19; nausea and/or vomiting in seven; papilledema in five; visual disturbances in five (diplopia in three, “blurred vision” in two, and unilateral partial oculomotor nerve palsy in one); [thejns.org]
Presenting features in 20 symptomatic cases included: headache in 19; nausea and/or vomiting in seven; papilledema in five; visual disturbances in five (diplopia in three, 'blurred vision' in two, and unilateral partial oculomotor nerve palsy in one); [mayoclinic.pure.elsevier.com]
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]
Physical examination revealed mild papilledema and paralysis of upward gaze. [jaocr.org]
-
Tremor
I’ve ever dealt with in my life. main symptoms and constant : nausea/vertigo, loss of vision, blurred vision and speech, extreme fatigue or insomnia some nights, vomiting, light sensitivity, memory loss, migraines, bilateral ear pain, muscle spasms, tremors [gofundme.com]
[…] 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. [uclahealth.org]
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]
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]
Other ECG Findings
-
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]
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]
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]
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]
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]
Extragonadal GCTs (including pineal region) have a poorer prognosis than gonadal GCTs. [aboutcancer.com]
It is quite difficult for me to recount the exact timing of my prognosis, but, with the help of my boyfriend documenting for me, we could recall that my first seizure had occurred around February of last year. [braintumor.org]
[…] 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]
The etiology of pineal cysts is still under debate; however, several postulates have been presented in an attempt to explain their origin. [thejns.org]
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]
Objective Epidemiological and clinical evaluation of the occurrence of pineal cysts in children treated in a single oncological ward over a period of 7 years. [termedia.pl]
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]
[…] uteri - diagnostic dilemmas] 2005 Hicheri J; Badri T; Fazaa B; Zermani R; Kourda N; Ben-Jilani S; Kamoun MR Scrotal calcinosis: pathogenesis and case report 2005 Šoba Barbara; Logar Jernej Molekularna epidemiologija humane kriptosporidioze [Molecular epidemiology [ricinus2.mf.uni-lj.si]
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]
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]
It also provides further support that the pineal region may play a role in the pathophysiology of psychiatric diseases, although more studies will be needed to elucidate this interesting connection. [mdanderson.elsevierpure.com]
Pathophysiology Tumors and Cysts Due to the pineal gland's location, any tumor or cyst formation would lead to the compression of the aqueduct of Sylvius. It is the aqueduct of Sylvius that allows the cerebrospinal fluid (CSF) to circulate out. [statpearls.com]
We review present an up-to-date review including the anatomy, embryology, and physiology of the pineal gland and its ability to secrete hormones including melatonin, pathophysiology of pineal gland tumors, cysts, and calcifications, their clinical presentation [read.qxmd.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
The wedge that you must sleep on 3 weeks after surgery to prevent brain bleeding. [annaelizmon.wordpress.com]
I have also been put on tablets to prevent my absent seizures I am now experiencing daily! [gofundme.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]