Choroidal fissure cerebrospinal fluid-containing cysts: case series, anatomical consideration, and review of the literature.

Abstract:

BACKGROUND:Cerebrospinal fluid (CSF)-containing cysts at the level of the choroidal fissure are rare embryological entities infrequently described in the literature because of their benign nature. On the occasion of a case series, we present an overview of the literature and discuss anatomical and embryological location, imaging characteristics, presenting symptoms, and treatment indication of these lesions. METHODS:We identified, in a retrospective study of a database with 81 patients harboring 86 supratentorial intracranial cysts, six patients with a CSF-containing cyst at the level of the choroidal fissure. In all cases, presenting symptoms were mild and the cysts were considered a fortuitous diagnosis. None of the patients was treated surgically, and the cysts remained stable at radiological follow-up. We performed a literature search for cerebral cysts and choroidal fissure cysts in particular. RESULTS:Only one large study purely addressing choroidal fissure cysts was found in the literature. CONCLUSIONS:CSF-containing cysts at the level of the choroidal fissure may be of the arachnoid or the neuroepithelial type, but pathological confirmation of a CSF-containing cyst at this specific location has never been published. Very infrequently they are symptomatic, and surgical treatment is hardly ever necessary.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

de Jong L,Thewissen L,van Loon J,Van Calenbergh F

doi

10.1016/j.wneu.2010.12.056

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

704-8

issue

5-6

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(11)00035-0

journal_volume

75

pub_type

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