This paper presents four posterior, interhemispheric cerebral cysts fo
und at perinatal autopsy. All cysts appeared to attenuate the overlyin
g posterior corpus callosum. All had a base over the roof of the third
ventricle and midbrain with a lining that resembled tela choroidea wi
th the choroid plexus tufts projecting into the lumen of the cyst. Thr
ee cases had enlargement of the lateral ventricles. One case had compl
ete communication between the cyst and the posterior lateral ventricle
s reminiscent of a holoprosencephaly confined to the posterior telence
phalon. One case demonstrated a complete VATER association and two oth
ers had some features of the VATER association. We hypothesize that th
is latter relationship suggest an origin for the cysts during blastoge
nesis.