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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pineal Cyst

My son was diagnosed with a pineal cyst 1 mm. The doctor at Shands in Gainesville, FL, wants to wait another year and re-MRI. My son s marriage is out of control, he has constant headaches, and has been staying with my 90-year-old mother, who does not know what else she can do to help him. We really want to do something to get rid of that cyst because he cannot sleep at night, is sleeping many times during the day, and finds food distasteful and it can bring on a headache (severe). Please help me know what to do. Thank you.
Mon, 10 Aug 2015
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Neurologist, Surgical,  's  Response
Pineal cyst of size 1 mm, as you have mentioned, is very unlikely to cause this much problems. If it was an older MRI report, he needs to be imaged again to role out a growing cyst or developing hydrocephalus (fluid accumulation), which are likely to cause severe headaches. If so, he might require a surgical intervention to excise the cyst or to drain the hydrocephalus. If the cyst is of the same size without hydrocephalus, he needs to be shown to a Neurologist to find out the cause and treatment of headache, like migraine.
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Suggest Treatment For Pineal Cyst

Pineal cyst of size 1 mm, as you have mentioned, is very unlikely to cause this much problems. If it was an older MRI report, he needs to be imaged again to role out a growing cyst or developing hydrocephalus (fluid accumulation), which are likely to cause severe headaches. If so, he might require a surgical intervention to excise the cyst or to drain the hydrocephalus. If the cyst is of the same size without hydrocephalus, he needs to be shown to a Neurologist to find out the cause and treatment of headache, like migraine.