Isolated choroid plexus cysts and health and developmental outcomes in childhood and adolescence - a systematic reveiw

Singal, Kusum, Adamczyk, Krzysztof, Hurt, Lisa ORCID: https://orcid.org/0000-0002-2741-5383, Woolner, Andrea and Paranjothy, Shantini 2023. Isolated choroid plexus cysts and health and developmental outcomes in childhood and adolescence - a systematic reveiw. European Journal of Obstetrics and Gynecology and Reproductive Biology 290 , pp. 115-122. 10.1016/j.ejogrb.2023.09.013

Preview

PDF - Published Version Available under License Creative Commons Attribution. Download (490kB) | Preview

Abstract

Objectives Choroid plexus cysts (CPCs) are incidental findings on ultrasound examination of the fetal brain. It is not known if isolated CPCs are associated with any adverse health or neurodevelopmental outcomes during the life course. This systematic review aimed to collate and synthesize the evidence on whether or not isolated choroid plexus cysts are associated with an increased risk of adverse health or developmental outcomes during childhood and adolescence. Methods A search strategy was developed specifically for this study and applied to four electronic databases Medline (Ovid), Embase (Ovid), Web of Science, and Google Scholar. Studies were assessed and selected for inclusion if there was a measurement of CPC (including single or multiple; unilateral or bilateral; isolated or presenting alongside other markers) during the antenatal or early neonatal period (<7 days) with follow-up of children and adolescents for health and developmental outcomes measured at any time from age 1 month onwards. Study quality was assessed using the Newcastle-Ottawa Quality Assessment Scale. Due to heterogeneity in the types of outcome measures included and the timing of measurement of outcomes across the studies, it was not possible to pool data across studies and a narrative description of findings was presented. Results Eight studies (three cohorts and five case series) met the inclusion criteria. Different methods were used for outcome assessment, such as in-person assessment, parent questionnaires, medical records, and telephone interviews with parents. Six studies measured outcomes only once during the specified duration of follow-up; two studies carried out paediatric reviews of the children several times during follow-up. There were no differences in developmental outcomes or physical health between babies with CPCs reported in the three cohort studies, and no abnormalities were detected in the children that were followed up in four of the five case series studies. Most of the included studies were graded as low quality due to the small sample size, high risk of selection bias, unclear definitions of CPC or lack of a comparison group. Conclusions The studies conducted to date do not provide evidence of adverse physical health outcomes or neurodevelopmental delays in babies with CPCs. However, most of these studies were small and included a narrow range of outcomes. Further research is needed to explore the relative incidence of outcomes such as ASD, ADHD, epilepsy and educational attainment in children with CPCs.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	Elsevier
ISSN:	0301-2115
Date of First Compliant Deposit:	2 October 2023
Date of Acceptance:	14 September 2023
Last Modified:	04 Oct 2023 04:06
URI:	https://orca.cardiff.ac.uk/id/eprint/162877

Actions (repository staff only)

Edit Item