The pineal gland produces the hormone melatonin which plays a role in regulating circadian rhythms. A<unk>  may disrupt production of this hormone, and insomnia may result. Frequently, paralysis of upward gaze along with several ocular findings such as convergence retraction nystagmus and eyelid retraction also known as Collier's sign and Light Near Dissociation (pupil accommodates but doesn't react to light) are known collectively as Parinaud's syndrome or Dorsal Mid-brain syndrome, are the only physical symptoms seen. This is caused by the compression of the vertical gaze center in the midbrain tectum at the level of the superior colliculus and cranial nerve III. Work-up usually includes Neuro-imaging as seen on the right. A<unk>  may cause interruption of hypothalamic inhibiting pathways, sometimes leading to beta-hCG secretion and consequent Leydig's cell stimulation (endocrine syndrome). Other symptoms may include hydrocephalus, gait disturbances, and precocious puberty.
Pinealoma
Subependymoma
Pilocytic astrocytoma
Diktyoma
Mantleoma
Neurothekeoma
Fibrillary astrocytoma
Frontal horn cyst