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J Korean Neurosurg Soc. 2016 Mar;59(2):168-71. doi: 10.3340/jkns.2016.59.2.168. Epub 2016 Feb 29.

Growing Hemorrhagic Choroidal Fissure Cyst.

Journal of Korean Neurosurgical Society

Ayse Karatas, Fazıl Gelal, Gokhan Gurkan, Hamit Feran

Affiliations

  1. Department of Neurosurgery, Izmir Katip Celebi University Ataturk Education and Research Hospital, Izmir, Turkey.
  2. Department of Radiology, Izmir Katip Celebi University Ataturk Education and Research Hospital, Izmir, Turkey.

PMID: 26962426 PMCID: PMC4783486 DOI: 10.3340/jkns.2016.59.2.168

Abstract

Choroidal fissure cysts are often incidentally discovered. They are usually asymptomatic. The authors report a case of growing and hemorrhagic choroidal fissure cyst which was treated surgically. A 22-year-old female presented with headache. Cranial MRI showed a left-sided choroidal fissure cyst. Follow-up MRI showed that the size of the cyst had increased gradually. Twenty months later, the patient was admitted to our emergency department with severe headache. MRI and CT showed an intracystic hematoma. Although such cysts usually have a benign course without symptoms and progression, they may rarely present with intracystic hemorrhage, enlargement of the cyst and increasing symptomatology.

Keywords: Choroidal fissure; Cyst; Hemorrhage; Temporal lobe

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