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What does 'multicystic pineal lesion' indicate in a MRI scan?

DOCTOR OF THE MONTH - May 2014
May 2014
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Radiologist
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On mri scan a multicystic pineal lesion has been seen what will be my next step and what does this meen
Posted Wed, 12 Feb 2014 in X-ray, Lab tests and Scans
 
 
Answered by Dr. Vivek Chail 51 minutes later
Brief Answer: Please consult neurosurgeon Detailed Answer: Hi XXXXXXX Thanks for writing in to us. The multicystic pineal lesion is a fluid containing growth in the region of pineal gland which is located in the brain. Most multicystic lesions are benign and cause problems only due to their size. It is important to know the complete description and size of your lesion. While small lesions can be left and watched for any changes that may occur in future, bigger ones might need to be operated upon if it is causing pressure symptoms in your brain. You must take an early appointment with a neurosurgeon and discuss the pineal cyst in detail. Any endocrine abnormalities should be investigated and possibility of a pineal tumor must be evaluated. In most patients a multicystic pineal lesion is harmless and slow growing. Your optic neuritis is an inflammatory condition of the optic nerves and you should get treated for that too. Hope your query is answered. Do write back if you have any doubts. Wishing you good health. Regards, Dr.Vivek
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Follow-up: What does 'multicystic pineal lesion' indicate in a MRI scan? 40 minutes later
Is it concerning that it is multicystic ? I have been having head aches and dizziness, is the optic neuritis connected
 
 
Answered by Dr. Vivek Chail 13 hours later
Brief Answer: Optic neuritis is not connected to pineal cyst Detailed Answer: Hi XXXXXXX Thanks for writing back with an update. It is possible that your cyst is benign in nature due to cystic appearance. However, the cyst, if small, needs to be evaluated 6 monthly or yearly for growth in size. The symptoms of headaches and dizziness may be due to the cyst. The size of the cyst is important to know but even a small cyst can cause symptoms and visual symptoms are usually first to be noticed. The optic neuritis is not related to the pineal cyst. Your optic neuritis needs to be closely followed up too with your doctor. Hope your query is answered. Do write back if you have any doubts. Wishing you good health. Regards, Dr.Vivek
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