Patient Education

Choroid Plexus Cyst

Chukwuma I. Onyeije, MD

Atlanta Perinatal Associates

What Is This?

What Is a Choroid Plexus Cyst?

A choroid plexus cyst (CPC) is a small, fluid-filled space within the choroid plexus — the part of the fetal brain that produces cerebrospinal fluid. It is not a brain defect.

🧠

Location

Found inside the lateral ventricles of the developing brain

💧

Nature

A small pocket of fluid — not a structural brain abnormality

Anatomy

The Fetal Brain at Mid-Pregnancy

BPD level fetal brain anatomy diagram and ultrasound

BPD Level Structures — the choroid plexus is visible within the posterior lateral ventricles

Prevalence

How Common Are Choroid Plexus Cysts?

1–2%
of all normal, healthy pregnancies

The vast majority of CPCs resolve on their own before the third trimester and have no lasting consequences for your baby.

Why Does It Matter?

The Connection to Chromosomes

A CPC is a soft marker — a minor ultrasound finding that, in rare cases, may be associated with Trisomy 18 (Edwards syndrome).

Most of the time

An isolated CPC is a normal variation with no chromosome concern

Key distinction

CPCs do not increase risk for Trisomy 21 (Down syndrome)

What Happens Next?

A Detailed Ultrasound Examination

The first step is a comprehensive anatomy survey to confirm the CPC is an isolated finding — meaning no other structural differences are present.

Management

Our Decision-Making Framework

Management algorithm for isolated choroid plexus cyst on prenatal ultrasound
Guideline Recommendation
SMFM Consult Series #57 • Reaffirmed 2025

When Screening Is Low-Risk

If your aneuploidy screen (NIPT or serum screen) is low-risk for Trisomy 18 and the CPC is isolated, no further genetic evaluation is recommended.

An isolated CPC with a negative screen is a normal variant of no clinical importance — no follow-up ultrasound or postnatal evaluation is required.

Our Partnership

We Are Here for You

We are committed to providing you with clear information, compassionate care, and a trusted partnership throughout your pregnancy.

Atlanta Perinatal Associates • Chukwuma I. Onyeije, MD

← → Arrow keys to navigate