Progressive symptomatic increase in the size of choroidal fissure cysts

Report of 4 cases

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Cysts of the choroidal fissure are often incidentally identified. Symptoms from such cysts appear to be exceedingly rare. Herein, the authors report a case series of symptomatic enlargement of choroidal fissure cysts that were surgically treated. Although cysts of the choroidal fissure do not normally become symptomatic, the neurosurgeon should be aware of such a complication. Based on the authors' experience, surgical fenestration of such cysts has good long-term results.

Abbreviation used in this paper:VP = ventriculoperitoneal.

Article Information

Address correspondence to: Aaron A. Cohen-Gadol, M.D., M.Sc., Goodman Campbell Brain and Spine, Indiana University Department of Neurological Surgery, 1801 North Senate Boulevard, Suite 610, Indianapolis, Indiana 46202. email: acohenmd@gmail.com.

Please include this information when citing this paper: published online August 17, 2012; DOI: 10.3171/2012.7.PEDS11515.

© AANS, except where prohibited by US copyright law.

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    Case 2. Admission axial MRI study (A) revealing a choroidal fissure cyst. Follow-up MRI study (B) demonstrating that the cyst had enlarged over time; it had also become symptomatic. Axial MRI study (C) obtained after fenestration, showing that the cyst size had decreased.

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    Case 4. Admission axial CT scan (A) revealing a choroidal fissure cyst. Follow-up CT scan (B) demonstrating that the cyst had enlarged over time. Postoperative MRI study (C) demonstrating the decrease in size of the cyst.

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