martedì 11 aprile 2006

Pineal cyst


A cystic lesion (2.0 x 1.8 x 1.2 cm) with thin and well-defined enhancing walls (Figure 1 and Figure 2) places mild mass-effect on the tectum. No hydrocephalus is present. The cystic lesion (Figure 1, Figure 2, Figure 3 and Figure 4) is homogeneously isointense to CSF on T1-weighted imaging, uniformly hyperintense on FLAIR sequences, and isointense to CSF on T2-weighted imaging. No diffusion restriction is seen on diffusion-weighted imaging. These findings are most compatible with a pineal cyst. Less likely, this may represent a pinecytoma.

Differential diagnosis:
- Pineal cyst
- Normal pineal
- Pineocytoma
- Epidermoid cyst
- Arachnoid cyst
- Germ cell neoplasm

Diagnosis: Pineal cyst

Pineal cysts are usually asymptomatic and are often discovered incidentally. They have been discovered in up to 40% of patients on autopsy studies. Patients with large pineal cysts may experience headaches secondary to obstructive hydrocephalus. Rarely, pineal cysts can produce Parinaud syndrome (paralysis of upward gaze, lid retraction, and abnormal pupillary movements). If the cyst is hemorrhagic, acute hydrocephalus can develop. Young females (aged 21-30) are affected more than males (female to male ratio is 3:1). The cysts commonly enlarge with puberty and then regress with age.

On CT, the pineal cyst contents are usually isodense relative to CSF. The wall may be calcified. The cyst wall (nodular or thin) may enhance with contrast. Pineal cysts have a variable appearance with MR. Cystic contents are most often hyperintense relative to CSF, but may be isointense on T1-weighted imaging. On T2-weighted sequences, the cystic contents are either isointense or hypointense to CSF. On FLAIR sequences, the cystic contents are hyperintense. No restriction is seen with diffusion-weighted imaging. The cyst walls may enhance (60%). On delayed images, the cystic contents may enhance.

The key management issue regarding a pineal cyst, is the fact that they can be indistinguishable from a pinecytoma. Therefore, a histological diagnosis may be needed to make the distinction. If biopsy or surgery is not performed, long-term follow-up imaging should be obtained. Some suggest that clinical follow-up without imaging is an acceptable alternative. In one follow-up series, the cysts did not change in size in 75% of patients.

7 commenti:

  1. As a sign of gratitude for how my husband was saved from pineal cyst , i decided to reach out to those still suffering from this.
    My husband was diagnosed of pineal cyst, and it was really tough and heartbreaking for me because he was my all and the symptoms were terrible, he had weakness of the body , and he always complain of ringing in ears (tinnitus) and headache . we tried various therapies prescribed by our neurologist but none could cure faithful day i decided to go for a researched and i saw a testimony by someone who was cured and so many other with similar brain problem, and he left the contact of the doctor who had the cure to pineal cyst. I never imagine pineal cyst has a cure not until i contacted him and he assured me my husband will be fine. I got the herbal medication he recommended and my husband used it and in one months time he was fully okay even up till this moment he is so full of life. pineal cyst has a cure and it is a herbal cure contact the doctor for more info on on how to get the medication. Thanks for reading my testimony

  2. "Dear Williams, I wanted to drop you a note and say 'THANK YOU', from the bottom of my heart. I was browsing the Internet back in AUGUST this year looking for help, any help. I have been diagnosed with a pineal cyst of 7. mm that was extremely causing me a vision balance & headaches , painful especially at night before going to bed. Thankfully enough I accidentally came across Mrs shelley thanking dr williams for his medication. I thought I should give his medicine a try and if it worked then the thirty something bucks would have been worth it. I ordered his medicine and went to my local health store and bought the herbs and vitamins and the other more basic ingredients for his medicine and then started his medication that day. After 7 days I didn't see any change so I thought 'here we go again'. But it wasn't another disappointment. By the end of the 4th week on a bright Monday morning, all the pain,headaches and the awful bloated feeling just stopped. I immediately went and performed another scan and guess what? The pineal cyst of 7. mm was not there anymore. I was so happy!

    Thanks to your advice, I now know how to prevent any future pineal cyst formation and the array of symptoms that goes along with it, including the headache unexpected seizure and visual disturbances. Thank you so much for everything!"for more information you can email him on for advice and for his product.


    Dr Williams,herbal treatment is the best to shrink pineal cyst naturally.

    Four months ago, I was scheduled an operation to remove a fairly large pineal cyst (approx. 8 mm), which had caused me a great deal of headache and tightness around my head. . My doctor insisted that there was no other choice but to go under the knife and I had reluctantly agreed (after trying several medications to decrease the size of the pineal cyst to no avail). It was approx. 2 months prior to the surgery when my husband comes across dr williams herbal remedies which my husband found and ordered for me online. With the help of my loving husband, I followed the step and procedure on how i should be taking it. and one months later I was scheduled for an scan check: it was shocking. The pineal cyst had completely gone, I had consulted my doctor and cancelled the surgery and with his dedicated counseling guidance I managed to completely treat the pineal cyst from my pineal gland , along with the pain and anxiety that this condition had inflicted on me. Thank you so much for your kind help DOCTOR,for more information on how to get his medication you can visit his blog on

  4. I am Sophie from Canada, I once suffered from a terrible and Chronic pineal cyst ,since i was 30 , the doctor told me there was no permanent cure i was given medications to slow down its progress, i constantly felt my health was deteriorating as i constantly go out of breath,and this illness was really terrible especially when am going out with my friends, i have this constant disorder for about 15 years, this was really a terrible ailment ,on thin one day that i was going through the internet,and i came across a post of Mrs Shelley on how his husband was been cured from pineal cyst through the help of Dr Williams herbal product, I contacted this herbal doctor via his email and explain everything to him and make purchase of his product,few days later he sent me the herbal medicine through courier service, when i received the herbal medicine, i used it for 1 months as prescribed by Dr Williams and i was totally cured within those week of usage,on thin now i have not experience any sign or characteristics again . for more information you can email him on for help

  5. Dear FRIENDS,
    now i have a beautiful smiling face and so are which you all, after reading my testimony. My name is jessica, I am 31 years old,
    And live with my boyfriend in Belgium, but I am UK. I have been diagnosed with pineal cyst since 2012, which the Doctors told me the only solution to this condition was surgery. I know how you feel and what you are going through, I don't have a baby though. I just want to tell you that I am cured now,with the help of doctor Williams herbal medication, the last time I can remember having pineal cyst was October this year. It was a long and difficult process but I am so thankful to dr williams I don't have it anymore. Please know you can be cured too. Accept what happened and is happening to you, forgive, let the past go, love yourself and others unconditionally and be thankful. Everything happens for a reason. If you want to be in contact with dr williams and share your own testimony and thoughts feel free to e-mail him on; for advice and for his product.

  6. Just wanted to say a huge thank you to Dr Williams for everything he have done in my life. I have been in tears for so many years now, having found that am having a pineal cyst, lesion after some years of being under extreme stress., . I spent 24 hours freaking out and finally calmed down after reading some testimony on here about Dr Williams herbal medicine to pineal cyst. The moment came and I mumbled out to my husband about Dr Williams product (with a few tears) and he was AMAZE – . He was just worried about me been free from the constant headache , after taking Dr Williams medicine for just within a period of one month. We went to the doc together who confirmed that i was pineal cyst free.
    Thank you again for being upfront, truthful and taking this pain away from me for more information about his product you can email him on i hope you can also help other terrified people in a similar situation.

  7. Thanks to Dr Williams I am so happy today, my wife have been suffering from pineal cyst for the past 8 years now, and i have spent a lot on western drugs which has all proved abortive, i have tried all means in life to get my wife out of this , but there was no answer until i decided to try herbal solution and i found Dr Williams online and i contacted him and after she took his medication as instructed, my wife is now completely cure from pinela cyst within those week of usage, i am so much happy, thanks to Dr Williams for helping me get my wife life back again without any form of crisis, i promise to tell your name and good deeds to the whole world,if you have someone with pineal cyst you can email him on for more information .