Conversation: The conversation between human and AI assistant.
[|Human|] 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
[|AI|]  Hi, thanks for posting your concern in the Chat Doctor. 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 carcinoma. An obstructive HY Chat Doctor.  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 doctors' 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.ChatDoctor .com/doctors/