I had a dermoid cyst removed over 20 years ago near my pituitary gland. I was having severe migraines. My migraines did got to a minimum after the surgery. It was called a transsphenoidal procedure. They went through my mouth and nose through my sinus. I recovered fairly quickly.

Hi Teresa, I found one local neurosurgeon who had experience with a ruptured dermoid cyst in the brain. He ordered MRI's of the entire spinal column along with the brain. If I understood correctly, they could not find where the cyst originated from; only the scattered remnants throughout the brain were apparent. He did a followup one month later, and there were no changes. He would prefer to take a conservative approach rather than surgery and repeat the MRI every six months to check for growth. I still have a headache that bothers me every once in awhile, but no other symptoms. I have to admit, I was glad to hear no surgery since he explained that the fatty-like deposits tend to be sticky and there's a risk for brain damage when trying to flush them out. I did take your advice and requested an appointment with a Mayo doctor, and am waiting for a reply. I don't know which is less appealing, brain surgery or knowing you have these "seedlings" in your brain just waiting to sprout.