Presentation
Headache.
Patient Data
Age: 55 years
Gender: Male
From the case:
Choroidal fissure cyst - with hemorrhage
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Signal void round lesion is present at the left choroidal fissure.
High signal foci on T2 and FLAIR sequences at subcortical and periventricular white matter of both cerebral hemispheres depict microvascular ischemic events.
Case Discussion
Choroidal fissure cyst is often incidentally discovered and usually has a benign course without symptoms. Choroidal fissure cyst may rarely present with intracystic hemorrhage, enlargement of the cyst and increasing symptomatology. It is, of course, possible that this represents an alternative diagnosis such as a cavernoma.
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