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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Can Headaches, Dizzy Spells, Heart Palpations, And Arm Numbness Be Symptoms Of Pineal Cyst?

My 16 year old daughter was diagnosed with a pineal cyst about 3 years ago. It was 4x4, we were told to just wait to see what happens. Lately she has been experiencing headaches, dizzy spells, heart palpations, and arm numbness. it has not been checked in 3 years because she was not symptomatic
Wed, 30 Jul 2014
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  User's Response
Hi, thanks for posting your concern in the HCM.
Pineal gland cysts are often incidental finding and smaller ones often do not require any intervention.
However, as you haven't gone for a follow up and your daughter is symptomatic now, she needs immediate clinical examination and imaging (CT scan or MRI) to rule out any enlargement or development of pineocytoma or germinoma. An obstructive hydrocephalus secondary to enlargement of the cyst may also be ruled out. CSF examination may also be required to rule out a neoplasm.
Hence, my opinion is-
1. Please consult your local neurosurgeon at the earliest.
2. Please do a CT scan or MRI of brain (depending upon your doctor's advice) if neurosurgeon is not available for immediate consultation.
In case no change is detected in that area, clinical examination of the cervical spine may be required along with imaging (X-ray, MRI) to rule out any abnormality.
For any further information, please write back to me @ http://www.HealthcareMagic.com/doctors/dr-kaushik-sarkar/68460.
If you are satisfied with the above answer, please mark it as helpful.
Regards,
Dr. Kaushik
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Can Headaches, Dizzy Spells, Heart Palpations, And Arm Numbness Be Symptoms Of Pineal Cyst?

Hi, thanks for posting your concern in the HCM. Pineal gland cysts are often incidental finding and smaller ones often do not require any intervention. However, as you haven t gone for a follow up and your daughter is symptomatic now, she needs immediate clinical examination and imaging (CT scan or MRI) to rule out any enlargement or development of pineocytoma or germinoma. An obstructive hydrocephalus secondary to enlargement of the cyst may also be ruled out. CSF examination may also be required to rule out a neoplasm. Hence, my opinion is- 1. Please consult your local neurosurgeon at the earliest. 2. Please do a CT scan or MRI of brain (depending upon your doctor s advice) if neurosurgeon is not available for immediate consultation. In case no change is detected in that area, clinical examination of the cervical spine may be required along with imaging (X-ray, MRI) to rule out any abnormality. For any further information, please write back to me @ http://www.HealthcareMagic.com/doctors/dr-kaushik-sarkar/68460. If you are satisfied with the above answer, please mark it as helpful. Regards, Dr. Kaushik