Surgical Removal of a Huge Atypical Choroid Plexus Papilloma

Lee, Sang-Kook;Shin, Kyu-Man;Cho, Do-Sang;Kim, Myung-Hyun

  • Published : 20040500

Abstract

The authors present a case of huge atypical choroid plexus papilloma in both lateral and third ventricles. A 2-year-old girl presented with lethargy and vomiting. Magnetic resonance images disclosed a huge enhancing mass, which probably arose from the left lateral ventricle and extended to the right lateral and the third ventricles. Total removal of the mass via the interhemispheric transcallosal approach was done. Histologically, an atypical choroid plexus papilloma was identified. Second operative treatment, subduro-peritoneal shunt, was performed due to postoperative subdural effusion. The patient was discharged two weeks after the second surgical procedure without a neurological deficit.

Keywords

References

  1. Baek KH, Kim TY, Kim JM : Encapsulated Choroid Plexus Papilloma with Surrounding Large Cyst. J Korean Neurosurg Soc 28 : 1727-1731, 1999
  2. Boyd MC, Steinbok P : Choroid plexus tumors : Problems in diagnosis and management. J Neurosurg 66 : 800-805, 1987 https://doi.org/10.3171/jns.1987.66.6.0800
  3. Coates TL, Hinshaw DB, Peckman N, Thompson JR, Hasso AN, Holshouser BA, et al : Pediatric choroid plexus neoplasms. MR, CT, and pathologic correlation. Radiology 173 : 81-88, 1989 https://doi.org/10.1148/radiology.173.1.2781035
  4. Ellenbogen RG, Donovan DJ : Choroid plexus tumors in Keating RF, Goodrich JT, Packer RJ(eds) : Tumors of the Pediatric Central Nervous System, New York : Thieme, 2001, pp339-350
  5. Ellenbogen RG, Winston KR, Kupsky WJ : Tumors of the choroid plexus in children. Neurosurgery 25 : 327-335, 1989 https://doi.org/10.1227/00006123-198909000-00001
  6. Erman T, Gocer AI, Erdogan S, Tuna M, Ildan F, Zorludemir S : Choroid plexus papilloma of bilateral lateral ventricle. Acta Neurochir 145 : 139-143, 2003 https://doi.org/10.1007/s00701-002-1047-x
  7. Girardot C, Boukobza M, Lamoureux JP, Sichez JP, Capellel, Zouaoui A, et al : Choroid plexus papilloma of the posterior fossa in adults : MR imaging and gadolinium enhancement. J Neuroradiol 17 : 303-318, 1990
  8. Guerard M : Tumeur Fongeuse dans le ventricle droit ducerveau chez une petite fille de trois ans. Anat Paris 8 : 211-214, 1832
  9. Johnson DL : Management of choroid plexus tumors in children. Pediatr Neurosci 15 : 195-206, 1989 https://doi.org/10.1159/000120468
  10. Jooma R, Grant D : Third ventricle choroid plexus papillomas. Childs Brain 10 : 242-250, 1983
  11. Koos W, Miller M : Intracranial Tumors of Infants and Children. St. Louis : Mosby, 1971, pp239-244
  12. Lena G, Genitori L, Molina J, Legatte JR, Choux M : Choroid plexus tumors in children. Review of 24 cases. Acta Neurochir(Wien) 106 : 68-72, 1990 https://doi.org/10.1007/BF01809335
  13. Matson D : Tumors of the choroid plexus in Matson D(ed) : Neurosurgery of Infancy and Childhood, Springfield, IL: Charles C Thomas, 1969, pp581-595
  14. Matson D, Crofton F : Papilloma of the choroid plexus in childhood. J Neurosurg 17 : 1002-1027, 1960 https://doi.org/10.3171/jns.1960.17.6.1002
  15. Pascual-Castroviejo I, Villarejo F, Perez-Higueras A, Morales C, Pascual-Pascual SI : Childhood choroid plexus neoplasms : A study of 14 case less than 2 years old. Eur J Pediatr 140 : 51-56, 1983
  16. Rekate HL, Erwood S, Brodkey JA, Chizeck HJ, Spear T, Ko W, et al : Etiology of ventriculomegaly in choroid plexus papilloma. Pediatr Neurosci 12 : 196-201, 1985 https://doi.org/10.1159/000120250
  17. Tomita T, McLone DG, Flannery AM : Choroid plexus papillomas of neonates, infants and children. Pediatr Neurosci 14 : 23-30, 1988 https://doi.org/10.1159/000120358
  18. Velasco-Siles JM, Raimondi AJ : Pediatric Neurosurgery, ed 2. New York : Grune & Stratton, 1982, pp451-460