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Are choroid plexus cysts life-threatening?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

The query is related to my wife, she is five months pregnant, and the note was indicated on her recent anatomy scan report. Our next appointment is too far away, and the wait is really killing us and making us worry and anxious every moment.

Answered by Dr. Hitesh Kumar

Hello,

Welcome to icliniq.com.

I would like to know some clinical details about your wife:

1. What symptoms exactly is she having, and since when?

2. For which symptoms CT or MRI brain was recommended and done?

Preventive measures

Neuroimaging MRI findings of - "The left choroid plexus extends anteriorly past the foreman of Monroe into the frontal horn of the left lateral ventricle. It is homogeneous in appearance with no obvious cyst or focal abnormality. However, as the differential diagnosis includes intraventricular hemorrhage" possibly implies that the location of choroid plexus (which is normal structure in ventricle of brain) is slightly extending forward with in the ventricle. Though it is showing its normal appearance in neuroimaging, Sometimes it is not very easily possible to say in MRI that it is normal choroid plexus only or has some bleeding associated. Because choroid plexus is full of blood vessels and sometimes are confused with blood in MRI. If there been confusion between these two possibilities, CT scan can be done as acute blood is better visualized in CT scan. But as your wife is pregnant, it is not advisable to do CT scan now (without any mandatory clinical indication) as CT scan during pregnancy can give radiation exposure to fetus.

Regarding follow up

Revert with clinical details.

Patient's Query

Hi doctor,

Thank you doctor.

My wife is having normal pregnancy symptoms. This was identified on the routine anatomy scan at 19W1D. We have a follow-up appointment on the 26th for another anatomy scan with a fetal specialist who will review the details again and see if it is resolved by itself. An MRI has not been suggested yet. Is this finding at 20 weeks pregnancy normal - or are there any complications that we should be worried about? Everything else on the anatomy scan was normal - including the size of the skull, the size of the ventricles, etc. But do you see this finding can cause any complications or will most likely resolve by itself in the upcoming weeks?

Also, is it possible for us to have a tele discussion?

Answered by Dr. Hitesh Kumar

Hi,

Welcome back to icliniq.com.

So this finding is for the fetus and possibly ultrasound finding. Right?

Initially, I thought that it was an MRI finding of your wife's brain (attachments removed to protect the patient's identity).

If all other parameters (size of the ventricle) are fine, this can be a simple structural variant.

I doubt that MRI will be able to differentiate between normal fetal choroid plexus and normal choroid plexus with small ventricular hemorrhage.

I suggest you discuss it with a fetal specialist.

Regarding follow up

Discuss with a fetal specialist.

Answered byDr. Hitesh Kumar

Medically reviewed byDr. Chithranjali Ravichandran

Published At April 23, 2021
Reviewed AtJune 3, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

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