Hippocampal sulcus remnant cyst

Last revised by Rohit Sharma on 25 Jun 2023

Hippocampal sulcus remnant cysts, also known as hippocampal cavities, are remnants of incomplete involution of the embryonic hippocampal fissure and are an incidental finding.  

They are seen in ~25% (range 10-40%) of the adult population 1,3.

These are asymptomatic and benign entities, not associated with seizures or epilepsy 5.

They consist of small (1-2 mm) cystic spaces that follow CSF on all sequences. They are located between the dentate gyrus and the cornu ammonis, at the lateral aspect of the hippocampal region, near the apex of the hippocampal fold 4.

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