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