Choroidal Fissure Cysts in Children - Pediatrician Dilemma for Follow-up.
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Date
2016-11
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Abstract
Background: Choroidal fissure cyst is a small cyst present in the choroidal fissure and this is a developmental variant.
These are location based cysts and can either be of neuroglial or neuroepithelial, or of arachnoid in nature. These are seen
as incidental finding in routine radiological cross sectional imaging studies. There is dilemma in follow up of these cysts
because of their asymptomatic nature or of some vague complaints and invites a lot of debate on their follow-up. Methods:
Five children of age group 10-16 years who reported to the outpatient department with vague headache, vertigo or
unexplained seizures were subjected to non contrast computerized tomography (NCCT) or magnetic resonance imaging
(MRI) of the head to rule out any intracranial pathology. Results: Three cases were having pure cysts in the brain while
other two were found to be having various sizes and types of tuberculomas resembling with that of cystic appearances.
One of the brain cyst cases was 14 years old female where NCCT head findings revealed a small cyst in the right choroid
fissure location. This was subsequently confirmed as choroidal fissure cyst on multiplanar and multisectional plain MRI
study. The other two cystic pathologies were vesicular stage of cysticercosis and posterior fossa arachnoid cyst. Rest of
the two were tuberculomas with ring enhancement, which were confirmed on MR spectroscopy. Conclusion: The case
with choroidal fissure cyst required special attention because of the concern of patient as well as clinician for the follow up.
We reviewed the literature for the fate and follow up of these types of cases.
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Keywords
choroidal fissure cyst, arachnoid nature, non contrast computerized tomography, MRI
Citation
Sharma Shashi, Sharma B B. Choroidal Fissure Cysts in Children - Pediatrician Dilemma for Follow-up. Annals of International Medical and Dental Research. 2016 Nov-Dec; 2(6): 1-4.