Giant interhemispheric cysts associated with agenesis of the corpus callosum

Interhemispheric cysts, often associated with agenesis of the corpus callosum, are rare lesions demonstrating little uniformity of pathogenesis. Four large interhemispheric cystic lesions with several unique features are reviewed. Magnetic resonance imaging clearly showed agenesis of the corpus callosum and was useful in the diagnosis of interhemispheric cysts. The differential diagnosis of these lesions is discussed, along with therapeutic considerations.