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What Does Tinglng, Numbness And Blurred Vision Due To Pineal Cyst Indicate?

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Posted on Tue, 10 Jun 2014
Question: This question is about my 6yr. old son. In December, 2013 I took my son to the er with severe headache, neck ache and vomiting. He ordered a CAT Scan and on the report it said "non-specific findings and then on the the Radiology Results it stated, "Impression: Rounded fluid density focus in the region of the pineal gland most likely representing a pineal cyst. This measures 10mm in maximal dimension. Small low density focus in the inferior right lentiform nucleus is nonspecific and may represent a dilated perivascular space among other things. If clinical findings warrant further investigation, MRI may be of value.
My son was experiencing numbness, tingling, headache, blurred vision for several months not (off and on). The past couple of weeks he has not had any of these symptoms. My pediatrician never said anything to me about him having a pineal cyst. I found this out by obtaining records myself and due to the symptoms he has been having I'm very concerned. Should I consider having him go to a neurologist for review and consideration?
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Answered by Dr. Eric Goldstein (56 minutes later)
Brief Answer:
Pineal Cyst

Detailed Answer:
Hello. Thank you for your question. I'm glad to hear that your son has been without symptoms since the discovery of the pineal cyst. I am Not sure why your pediatrician chose not to discuss this with you. In my opinion, a pediatric neurologist should definitely be involved. I recommend consulting with one as soon as you are able.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Eric Goldstein (10 minutes later)
What is a dilated perivascular space and does that have anything to do with a pineal cyst?

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Answered by Dr. Eric Goldstein (8 hours later)
Brief Answer:
Perivascular Space

Detailed Answer:
The dilated perivascular space could be due to the pineal cyst, or it could be an incidental finding. It is not unusual to discover dilated perivascular space on brain imaging in an otherwise normal study. Its significance is not competely understood. However, taken as a whole, if your son remaims asymptomatic, it is likely a neurologist will want to continue to observe.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Eric Goldstein

Pediatrician

Practicing since :1999

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What Does Tinglng, Numbness And Blurred Vision Due To Pineal Cyst Indicate?

Brief Answer: Pineal Cyst Detailed Answer: Hello. Thank you for your question. I'm glad to hear that your son has been without symptoms since the discovery of the pineal cyst. I am Not sure why your pediatrician chose not to discuss this with you. In my opinion, a pediatric neurologist should definitely be involved. I recommend consulting with one as soon as you are able.