Choroidal fissure cyst in the temporal horn associated with complex partial seizure

Morioka, Takato; Nishio, Shunji; Suzuki, Satoshi; Fukui, Masashi; Nishiyama, Tomohiro

doi:10.1016/0303-8467(94)90054-x

Cited by 27 publications

(21 citation statements)

References 12 publications

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“…None of the 26 patients was surgically treated. 1 Morioka et al 2 reported 2 cases of choroidal fissure cysts associated with complex partial seizures, which included scalp electroencephalography data localizing the seizures to the temporal lobes of both patients on the ipsilateral side of the cysts. Seizures in both patients were managed successfully with antiepileptic medication and did not require an operative intervention.…”

Section: Discussionmentioning

confidence: 99%

Progressive symptomatic increase in the size of choroidal fissure cysts

Tubbs

Muhleman

McClugage

et al. 2012

PED

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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.

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Section: Discussionmentioning

confidence: 99%

Progressive symptomatic increase in the size of choroidal fissure cysts

Tubbs

Muhleman

McClugage

et al. 2012

PED

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“…Morioka et al described two adult cases of complex partial seizures associated with choroidal fissure cysts. 2 A wide spectrum of endocrinologic complications including growth hormone deficiency, precocious puberty, and panhypopituitarism has been described in children with intracranial arachnoid cysts. 3 In a recent case report, Tas et al described a patient with bilateral choroidal fissure cysts, septo-optic dysplasia (triad of optic nerve hypoplasia, panhypopituitarism, agenesis of septum pellucidum), and infantile spasms, with shunting and cyst fenestration at 12 months.…”

Section: Discussionmentioning

confidence: 99%

“…1 Choroidal fissure cysts are usually an incidental finding and often considered to be clinically benign, although some have been reported in association with medical and surgical morbidities. 1,2 However, the range of outcomes is broad, and there is little in the literature to assist in prediction of postnatal course from prenatal findings or to guide postnatal management. We describe a case of prenatal diagnosis of a large choroidal fissure cyst, subsequent difficult neonatal intensive care course including panhypopituitarism and diabetes insipidus, and identification of an interstitial microdeletion of chromosome 10q26.…”

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confidence: 99%

Newborn with Prenatally Diagnosed Choroidal Fissure Cyst and Panhypopituitarism and Review of the Literature

et al. 2011

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Little has been reported on fetal diagnosis of choroidal fissure cysts and prediction of the clinical complications that can result. We describe the case of a near-term male infant with prenatally diagnosed choroidal fissure cyst and bilateral clubfeet. His prolonged course in the neonatal intensive care nursery was marked by severe panhypopituitarism, late-onset diabetes insipidus, placement of a cystoperitoneal shunt, and episodes of sepsis. Postnatal genetic evaluation also revealed an interstitial deletion involving most of band 10q26.12 and the proximal half of band 10q26.13. The patient had multiple readmissions for medical and surgical indications and died at 6 months of age. This case represents the severe end of the spectrum of medical complications for children with choroidal fissure cysts. It highlights not only the importance of comprehensive evaluation and multidisciplinary management and counseling in such cases, but also the need for heightened vigilance in these patients.

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“…Morioka et al has treated two patients with medication for the partial seizures and no further investigation or management was required. [6] Follow up is definitely needed in symptomatic patients. The interval between follow up depends upon the nature at the time of presentation.…”

Section: Discussionmentioning

confidence: 99%

Choroidal Fissure Cysts in Children - Pediatrician Dilemma for Follow-up?

Sharma¹,

Sharma²

2016

AIMDR

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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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Choroidal fissure cyst in the temporal horn associated with complex partial seizure

Cited by 27 publications

References 12 publications

Progressive symptomatic increase in the size of choroidal fissure cysts

Progressive symptomatic increase in the size of choroidal fissure cysts

Newborn with Prenatally Diagnosed Choroidal Fissure Cyst and Panhypopituitarism and Review of the Literature

Choroidal Fissure Cysts in Children - Pediatrician Dilemma for Follow-up?

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