The exact cause(s) that lead to the development of pineal gland cysts are not known, besides they are benign and harmless. They often do not produce any symptom(s), i.e. they are asymptomatic. However, at times, a pineal cyst may also become big, in which case it can produce a few symptoms. Pineal cysts are one of the four types of pineal lesions, the other three being germ cell tumors, pineal parenchymal tumors, and metastases.