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Suggest Treatment For Choroid Plexus Cysts In Brain

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Posted on Sat, 30 Jan 2016
Question: Can choroid plexus cysts be found anywhere in the brain on a developing fetus? More specifically, can they be found in the anterior brain parenchyma?
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Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Brief Answer:
Choroid plexus cyst not likely in anterior parenchyma.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
Choroid plexus cysts are normally found around the lateral ventricles. A cyst found in the anterior brain parenchyma can rarely be a choroid plexus cyst. These are typically detected around the 2nd trimester and are seen as sonolucent cysts particularly about the lateral ventricles.
They generally disappear by 26-28 weeks in utero and are of no significance in most cases. However if one is seen in antenatal imaging it would warrant careful surveillance of the rest of the fetus due to weak associations with karyotypic abnormalities. Choroid plexus cysts are of concern if the cysts are large (> 1 cm) (controversial evidence), bilateral, multiple and associated with structural abnormalities, when the maternal age is equal to or greater than 32 years, or if the maternal serum screening results are abnormal.
The cysts themselves resolve in the 3rd trimester and are generally not associated with abnormal CNS development. It is usually the associated conditions that are of concern.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Dr. Rakhi Tayal (1 hour later)
What does this ultrasound report mean?







Background: I am currently 14w3d pregnant. I had a detailed ultrasound after a necessary surgery on tuesday. This is the ultrasound report:


Crown-rump length is 8.25 mm corresponding to 14 weeks 1 day. Fetal heart is 137 bpm. There is posterior placenta which is low lying w/ marginal previa.

There is nonspecific thickening of the nuchal fold measuring up to 5.1 mm. Cannot exclude cystic hygroma. Limited evaluation demonstrates large cystic structures demonstrated with anterior cranial vault. Etiology is indeterminate and could reflect underdevelopment/abnormal development of anterior brain parenchyma versus abnormal compression of brain parenchyma versus hydrocephalus. Recommendation is for further evaluation by a high risk OB.


My ob spoke w/ us but i could barely comprehend what he told me. I am desperate for info right now.

I took the harmony test several weeks ago and it game back at virtually zero risk for the things it tests for (t21, t13, t18, turners - we are having a girl)


No abnormal heart rates....no abnormal hcg levels...in fact, the day before this scan I had a thorough scan at my regular OB and everything came back perfect. My OB mentioned they have higher quality ultrasounds at the hospital.


What kind of cysts could this be? Could this possibly resolve itself and lead to a healthy baby? I am seeing a MFM this Thursday but would like Some information in the meantime.
doctor
Answered by Dr. Dr. Rakhi Tayal (2 hours later)
Brief Answer:
Needs regular monitoring.

Detailed Answer:
Hello.
Thanks for writing again.
The cyst in the anterior parenchyma can cause compression of the adjacent structures and can affect the development of the brain. The nature of such cysts is usually benign but these need a regular monitoring for any growth in size. It can resolve on its own as the baby grows but needs a monitoring.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14047 Questions

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Suggest Treatment For Choroid Plexus Cysts In Brain

Brief Answer: Choroid plexus cyst not likely in anterior parenchyma. Detailed Answer: Hello, Thanks for trusting us with your health concern. Choroid plexus cysts are normally found around the lateral ventricles. A cyst found in the anterior brain parenchyma can rarely be a choroid plexus cyst. These are typically detected around the 2nd trimester and are seen as sonolucent cysts particularly about the lateral ventricles. They generally disappear by 26-28 weeks in utero and are of no significance in most cases. However if one is seen in antenatal imaging it would warrant careful surveillance of the rest of the fetus due to weak associations with karyotypic abnormalities. Choroid plexus cysts are of concern if the cysts are large (> 1 cm) (controversial evidence), bilateral, multiple and associated with structural abnormalities, when the maternal age is equal to or greater than 32 years, or if the maternal serum screening results are abnormal. The cysts themselves resolve in the 3rd trimester and are generally not associated with abnormal CNS development. It is usually the associated conditions that are of concern. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal