Pineal Region Tumors

Houston Methodist’s world-class neurologists, neurosurgeons and oncologists have experience treating all types of pineal region brain tumors:

• Pineocytomas are slow-growing tumors (grade I or II) with a low potential to spread. These tumors typically affect people from 20 to 64 years old.
• Pineal parenchymal tumors (grade II or III) affect people of all ages.
• Papillary pineal tumors are intermediate grade (II or III).
• Pineoblastomas are very aggressive tumors (grade IV) and are highly likely to metastasize. They’re usually diagnosed in people under age 20.

Common symptoms of pineal region tumors may include one or more of the following:

• Balance issues
• Confusion
• Difficulty walking
• Headaches
• Nausea
• Visual changes (abnormal eye movements or double vision)
• Vomiting

Diagnosis begins with a complete neurological examination where we test your reflexes, balance, hearing, vision and sense of smell. 

We use diagnostic imaging — such as magnetic resonance imaging (MRI) or computerized tomography (CT) — to visualize the location and size of the tumor. Our experienced diagnosticians may also analyze cerebrospinal fluid or use surgical biopsy for further analysis. 

Pineal region tumors can cause increased pressure inside the brain due to the production of excessive cerebrospinal fluid (CSF). These tumors can also block the flow of CSF, leading to a condition known as hydrocephalus, or water on the brain.

Surgery is typically the first and best option for pineal region tumors and to correct the hydrocephalus.

Following surgery, we tailor a treatment plan to meet your needs, including:

• Chemotherapy to stop or slow the growth of the tumor.
• Radiation that targets the brain tumor without affecting other parts of the body. Our experienced and collaborative radiation team includes a neurosurgeon, a radiation oncologist and a radiation physicist. 
• Clinical trials that also may offer treatment options.