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CHOROID PLEXUS CYSTS
Your recent obstetric
ultrasound may have identified Choroid Plexus cysts in your baby. These
small fluid filled sacs, noted in the baby’s developing brain, are a
frequent and usually isolated finding. They almost always disappear by
the 24th week of pregnancy, and have no effect on the developing brain
or brain function after birth. Choroid Plexus cysts are usually totally
benign. However, there may be some connection between Choroid Plexus
cysts and certain chromosomal abnormalities. The chance your baby will
have chromosomal abnormalities is about 1 in 100 (1%).
Because of the potential association with chromosomal abnormalities,
your doctor will usually refer you to the Genetic Counselor and
Perinatologist at Shands Hospital (some insurance policies require you
to go elsewhere for this evaluation). The Perinatologist is an
obstetrician who specializes in problems associated with the developing
baby.
At that appointment, the Genetic Counselor will determine your
particular risks for the chromosomal abnormalities that may be
associated with Choroid Plexus cysts. Before your appointment, you and
your baby’s father may want to talk with family members about your
medical histories. Gathering as much information as you can about
medical problems in your family will be very helpful. The Perinatologist
will do a targeted, or “Level II” ultrasound, looking carefully for
other abnormalities.
Genetic abnormalities in the baby cannot be totally ruled out unless
amniocentesis is performed, but for women under the age of 35 with a
normal Level II ultrasound and a normal OB triple screen, the baby’s
risk of having Trisomy 18 is lower than the risk of amniocentesis (about
1 in 200). Regardless of your age, an amniocentesis will be offered to
you at this appointment.
At your Shands appointment you will have ample opportunity to learn as
much as is known about Choroid Plexus cysts, and to ask any questions
that you have.
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