Pineal cysts cause dizziness, usually because the cyst is compressing the surrounding tissues, it is best to go to the hospital for examination and clarification, and timely surgical treatment. Pineal cysts are benign lesions of the brain. As the pineal cyst continues to grow, the size of the cyst will continue to increase, which may cause compression symptoms and lead to dizziness. Patients need to cooperate with a specialized neurosurgeon as soon as possible for surgical treatment, such as ventriculoscopy, which reaches the pineal gland via ventriculoscopy and cuts open the cyst to drain the cystic fluid, effectively reducing the symptoms. If the pineal cyst causes dizziness, it is recommended to go to the local regular hospital as soon as possible, complete the relevant examination, combined with the patient’s condition, and formulate a personalized surgical treatment plan as soon as possible.