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Altafulla JJ, Suh S, Bordes S, Prickett J, Iwanaga J, Loukas M, Dumont AS, Tubbs RS. Choroidal fissure and choroidal fissure cysts: a comprehensive review. Anat Cell Biol 2020; 53:121-125. [PMID: 32647078 PMCID: PMC7343566 DOI: 10.5115/acb.20.040] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Accepted: 04/01/2020] [Indexed: 01/13/2023] Open
Abstract
In this paper, the authors discuss the embryology and anatomy of the choroidal fissure, as well as the pathophysiology and treatment of cerebrospinal fluid cysts of this structure. Understanding its anatomical relations to nearby structures plays an essential role during brain surgeries. With the advancement and availability of imaging techniques, lesions of the choroidal fissure are often found incidentally. Patients are usually asymptomatic or exhibit symptoms that do not correlate with anatomical location or do not require surgical treatment. The choroidal fissure is a key landmark used during brain surgery. Therefore, a comprehensive understanding of it and nearby anatomical structures is essential. Choroidal fissure cysts can be found incidentally, and well-known key features will allow one to differentiate them from other lesions. Surgical treatment should be reserved for symptomatic patients while asymptomatic patients should be monitored.
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Affiliation(s)
- Juan J Altafulla
- Department of Neurosurgery, Hospital Santo Tomas, Panama City, Panama
| | - Seungmo Suh
- Department of Anatomical Sciences, St. George's University, St. George's, Grenada
| | - Stephen Bordes
- Department of Anatomical Sciences, St. George's University, St. George's, Grenada
| | - Joshua Prickett
- Aiken Neurosciences, Aiken Regional Medical Centers, Aiken, SC, USA
| | - Joe Iwanaga
- Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume,University School of Medicine, Kurume, Japan.,Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA
| | - Marios Loukas
- Department of Anatomical Sciences, St. George's University, St. George's, Grenada
| | - Aaron S Dumont
- Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA
| | - R Shane Tubbs
- Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.,Department of Structural & Cellular Biology, Tulane University School of Medicine, New Orleans, LA, USA
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