occur here, enlarged PVSs may cause obstructive
hydrocephalus. Prominent PVSs also occur in the subcortical
sized cysts. Most PVSs suppress completely; 75% are
surrounded by normal-appearing brain, which helps
distinguish them from porencephalic cysts.
Hippocampal sulcus remnant cysts (HSRCs) are common
normal variants, seen as a "string" of small CSF-like cysts lying
in the hippocampus just medial to the temporal horn of the
lateral ventricle. They are caused by defective or incomplete
fusion of the embryonic cornu ammonis and dentate gyrus
and are of no clinical significance.
Porencephalic cysts are the 3rd most common supratentorial
parenchymal cysts. They may communicate with the ventricles
and are typically lined by gliotic white matter, not ependyma,
and are caused by brain destruction (e.g., peri- or antenatal
insult). The brain surrounding a porencephalic cyst is typically
hyperintense on T2WI and FLAIR.
Periventricular cysts of newborns encompasses a wide,
overlapping variety of periventricular cystic lesions that ranges
from cystic periventricular leukomalacia to connatal and
Neuroglial cysts, sometimes called neuroepithelial cysts, are
benign glial-lined cavities buried within the cerebral white
matter. Although they can occur anywhere, the frontal lobe is
the most common site. They tend to be solitary, whereas PVSs
are usually collections of multiple cysts of different sizes. A
choroid fissure cyst is a neuroglial cyst that occurs anywhere
along the infolded choroid fissure. Most are found medial to
the temporal horn of the lateral ventricle. HSRCs occur when
there is incomplete fusion of the cornu ammonis and the
dentate gyrus. HSRCs are often multiple, appearing like a
string of small CSF-containing cysts along the lateral margin of
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