Choroidal Fissure Cyst Presenting as Hemi-Orofacial Sensory Loss.

Karuna Tamrakar Karki1, Govinda Kandel2

1Department of Neurosurgery, B and C Medical College Teaching Hospital and Research Center, Birtamode, Jhapa, Nepal.

2Department of Internal Medicine, Mechi Zonal Hospital, Bhadrapur, Jhapa, Nepal.

Correspondence: 

Dr. Karuna Tamrakar Karki

Department of Neurosurgery

B and C Medical College Teaching Hospital and Research Center, Birtamode, Jhapa, Nepal

Phone: +9779843405124

Email: tamrakarkaruna@gmail.com

Abstract

Background: Choroidal fissure cysts are benign, asymptomatic, and discovered incidentally. CSF containing cysts at the level of the choroidal fissure are usually present with vague symptoms like a complex type of headache, cognitive disorder, tremor, paraesthesia, and visual disturbance. Here is a case report of a 33-year-old non-diabetic, non-smoker gentleman who had an insidious onset of loss of sensation over the left half of the face for the last 3 years which was secondary to a small choroidal fissure cyst diagnosed in MRI brain.