Pineal Cyst Overview A pineal cyst is a small, fluid-filled sac that forms in the pineal gland, a tiny gland located deep in the brain. This gland helps regulate sleep by producing the hormone melatonin. Because pineal cysts often don’t cause symptoms, they are frequently discovered incidentally during brain imaging. In most cases, these cysts are harmless and don’t require treatment. However, in rare instances, if a cyst grows large enough, it might lead to headaches or other neurological symptoms. If you’re diagnosed with a pineal cyst, your doctor may recommend regular check-ups to monitor its size, but treatment is not necessary for most people. Symptoms The symptoms of a pineal cyst can vary depending on its size and whether it is pressing on nearby parts of the brain. Many people with a pineal cyst don’t experience any symptoms, especially if the cyst is small. However, some symptoms may occur if the cyst grows or affects the surrounding structures. Symptoms of a pineal cyst...