Feasibility and value of preoperative embolization of a congenital choroid plexus tumour in the premature infant: An illustrative case report with technical details

We present a case of a preterm boy (born at 35 weeks of pregnancy) who was delivered urgently by a caesarean section due to placental abruption. The baby was found to have a tense fontanelle leading to imaging that showed a 5.5 cm right intraventricular mass centred in the atrium, hydrocephalus and extensive surrounding vasogenic oedema. The mass was avidly enhancing with a few large associated vessels suggesting high vascularity. The condition of the baby was acutely deteriorating. He had multiple seizures followed by persistent low level of consciousness in the third day of life. His clinical decline prompted decision to proceed with surgical resection and preoperative embolization. A large single feeder (the right posterolateral choroidal artery) was embolized leading to near complete obliteration of the tumour blush. Embolization likely facilitated subsequent surgery the next day. This is based on an estimated blood loss of 250 ml in this 3 kg baby without haemodynamic instability. Gross total resection was achieved with a single surgery and the diagnosis was choroid plexus papilloma. Utilization of this combined approach in this preterm baby had led to survival in this potentially curable disease.

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First report of the simultaneous occurrence of choroid plexus papilloma and meningioma in a dog

Acta Veterinaria Hungarica ◽

10.1556/avet.57.2009.3.5 ◽

2009 ◽

Vol 57 (3) ◽

pp. 389-397 ◽

Cited By ~ 2

Author(s):

Luciano Espino ◽

Maruska Suarez ◽

German Santamarina ◽

Mónica Vila ◽

Natalia Miño ◽

...

Keyword(s):

Choroid Plexus ◽

Medical Literature ◽

Choroid Plexus Papilloma ◽

The Other ◽

Simultaneous Occurrence ◽

Falx Cerebri ◽

History Of ◽

The Central Nervous System ◽

The Right ◽

Plexus Papilloma

A 7-year-old spayed female English Cocker Spaniel was examined because of a 1-week history of lethargy, stumbling over objects and circling, and the presence of two tonic-clonic generalised seizures two days before presentation. The neurological signs suggested a lesion involving the right forebrain. Computed tomography revealed the presence of two intracranial masses, one located inside the right lateral ventricle and the other located in the right frontal lobe attached to the falx cerebri. Because of the poor prognosis, the owner refused to continue with the therapy and the dog was euthanised. On postmortem examination one mass was diagnosed histologically as a meningioma and the other as a papilloma of the choroid plexus. Information in the veterinary literature on multiple malignancies affecting the central nervous system is very limited. To the best of the authors’ knowledge, the association of meningioma and choroid plexus papilloma has never been reported either in the human or in the veterinary medical literature.

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Preoperative embolization of choroid plexus papilloma with Onyx via the anterior choroidal artery: technical note

Child s Nervous System ◽

10.1007/s00381-012-1928-0 ◽

2012 ◽

Vol 28 (11) ◽

pp. 1955-1958 ◽

Cited By ~ 11

Author(s):

Felipe Padovani Trivelato ◽

Luciano Bambini Manzato ◽

Marco Túlio Rezende ◽

Pedro Moreira Coelho Barroso ◽

Rodrigo Moreira Faleiro ◽

...

Keyword(s):

Choroid Plexus ◽

Choroid Plexus Papilloma ◽

Technical Note ◽

Preoperative Embolization ◽

Anterior Choroidal Artery ◽

Anterior Choroidal ◽

Choroidal Artery ◽

Plexus Papilloma

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Radiological imaging of choroid plexus tumors: Systematic approach toward diagnosing a choroid plexus tumor

Indian Journal of Case Reports ◽

10.32677/ijcr.v7i9.3004 ◽

2021 ◽

pp. 373-376

Author(s):

Batra Chakshu ◽

Kapur Neeru

Keyword(s):

Choroid Plexus ◽

Lateral Ventricle ◽

Histopathological Examination ◽

Choroid Plexus Papilloma ◽

Mass Lesion ◽

Choroid Plexus Tumors ◽

Common Location ◽

The Right ◽

The Brain ◽

Occipital Horn

Choroid plexus tumors (CPTs) are rare intraventricular tumors comprising approximately 1% of all brain tumors. The common locations are the lateral ventricle (most common location in children), the third and fourth ventricles (most common location in adults), and cerebellopontine angle. Here, we present the case of a 10-month-old child with complaints of fever (99.6F), abnormal eye movements, and bilateral papilledema. Ultrasound cranium of the child revealed a well-defined hyperechoic lesion adjacent to the trigone and occipital horn of the right lateral ventricle. No vascularity could be appreciated on color Doppler. Non-contrast computed tomography of the brain showed a well-defined lobulated mass lesion epicentered at the choroid plexus of the right lateral ventricle which was hyperdense relative to the brain parenchyma with specks of calcification. Contrast-enhanced magnetic resonance imaging showed a solid intensely enhancing lobulated mass lesion with frond-like morphology originating from the choroid plexus of the occipital horn of the right lateral ventricle. Surgical excision of the CPT was done under aseptic conditions. We try to reinforce the ultrasound (USG), CT, and MRI findings of a CPT which ultimately came out to be a choroid plexus papilloma (CPP) on histopathological examination.

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Choroid Plexus Papilloma with Chondroma: Case Report

Neurosurgery ◽

10.1227/00006123-198606000-00018 ◽

1986 ◽

Vol 18 (6) ◽

pp. 781-783 ◽

Cited By ~ 27

Author(s):

Jorge Salazar ◽

Jesùs Vaquero ◽

Ignacio F. Aranda ◽

Josefa Menèndez ◽

Dolores M. Jimenez ◽

...

Keyword(s):

Choroid Plexus ◽

Benign Tumor ◽

Histopathological Examination ◽

Choroid Plexus Papilloma ◽

Epileptic Seizures ◽

Intracranial Tumor ◽

Review Of The Literature ◽

Total Removal ◽

The Right ◽

Plexus Papilloma

Abstract The authors report the successful total removal of a rare intracranial tumor in the right lateral ventricle of a 15-year-old girl with epileptic seizures. Histopathological examination showed a benign tumor formed by mature cartilage and choroid plexus papilloma. From our review of the literature, a mixed tumor with these histological features has not been reported previously in this location. The diagnosis, surgical approach, etiology, and prognosis of this lesion are discussed.

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Choroid plexus papilloma of the third ventricle: angiography, preoperative embolization, and histology

Neuroradiology ◽

10.1007/s002340000470 ◽

2001 ◽

Vol 43 (6) ◽

pp. 503-506 ◽

Cited By ~ 24

Author(s):

H. M. Do ◽

W. F. Marx ◽

H. Khanam ◽

M. E. Jensen

Keyword(s):

Choroid Plexus ◽

Third Ventricle ◽

Choroid Plexus Papilloma ◽

Preoperative Embolization ◽

The Third ◽

Plexus Papilloma

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Pediatric choroid plexus papilloma arising from the cerebellopontine angle: systematic review with illustrative case

Child s Nervous System ◽

10.1007/s00381-020-04896-w ◽

2020 ◽

Author(s):

Mairre James S. Gaddi ◽

Jeffrey I. Lappay ◽

Kevin Ivan P. Chan ◽

Juan Silvestre G. Pascual ◽

Alaric Emmanuel M. Salonga

Keyword(s):

Systematic Review ◽

Choroid Plexus ◽

Cerebellopontine Angle ◽

Choroid Plexus Papilloma ◽

Illustrative Case ◽

Plexus Papilloma

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Factor XI deficiency and delayed hemorrhages after resection of choroid plexus papilloma: illustrative case

Journal of Neurosurgery: Case Lessons ◽

10.3171/case21333 ◽

2021 ◽

Vol 2 (24) ◽

Keyword(s):

Choroid Plexus ◽

Choroid Plexus Papilloma ◽

Activated Partial Thromboplastin Time ◽

Illustrative Case ◽

Normal Range ◽

Factor Xi ◽

True Incidence ◽

Factor Xi Deficiency ◽

Measured Activity ◽

Routine Coagulation

BACKGROUND Factor XI deficiency, also known as hemophilia C, is a rare inherited bleeding disorder that may leave routine coagulation parameters within normal range. Depending on the mutation subtype, prolonged activated partial thromboplastin time may occasionally be found. The disease has an autosomal transmission, with an estimated prevalence in the general population of approximately 1 in 1 million. Heterozygosis accounts for partial deficits, but the tendency to bleed is unrelated to the measured activity of factor XI. Diagnosis usually follows unexpected hemorrhages occurring spontaneously or after trauma or surgical procedures. OBSERVATIONS Few cases have been reported in the neurosurgical literature, all occurring spontaneously or after head trauma. Owing to its subtle features, the true incidence of the disease is probably underestimated. The authors report a case of a patient with previously undiagnosed factor XI deficiency who underwent uncomplicated resection of a fourth-ventricle papilloma and experienced delayed, severe hemorrhagic complications. LESSONS The known association between choroid plexus tumors and intracranial bleeding raised differential diagnosis issues. This report may serve to help to investigate delayed hemorrhages after cranial surgery.

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Retrosigmoid approach for resection of an extraventricular choroid plexus papilloma in the cerebellopontine angle

Neurosurgical FOCUS ◽

10.3171/2014.v1.focus13271 ◽

2014 ◽

Vol 36 (v1supplement) ◽

pp. 1

Author(s):

Lee A. Tan ◽

Ricardo B. Fontes ◽

Richard W. Byrne

Keyword(s):

Choroid Plexus ◽

Fourth Ventricle ◽

Cerebellopontine Angle ◽

Choroid Plexus Papilloma ◽

Surgical Techniques ◽

Retrosigmoid Approach ◽

High Definition ◽

The Right ◽

Choroid Plexus Papillomas ◽

Plexus Papilloma

Choroid plexus papillomas (CPP) are uncommon benign brain tumors that usually arise in the fourth ventricle in adults and lateral ventricles in children. Extraventricular CPPs are rare and can be found primarily in the cerebellopontine angle (CPA). We present a case of primary extraventricular CPP in the right CPA successfully resected with retrosigmoid approach. Detailed surgical techniques of retrosigmoid craniotomy and tumor dissection are presented in high definition video with narration.The video can be found here: http://youtu.be/6591en3nWlY.

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Choroid Plexus Papilloma in a Dog

Veterinary Pathology ◽

10.1177/030098587100800110 ◽

1971 ◽

Vol 8 (1) ◽

pp. 91-95 ◽

Cited By ~ 12

Author(s):

H. J. Kurtz ◽

Griselda F. Hanlon

Keyword(s):

Choroid Plexus ◽

Fourth Ventricle ◽

Choroid Plexus Papilloma ◽

Clinical Signs ◽

Single Layer ◽

Ciliated Epithelium ◽

The Central Nervous System ◽

Well Differentiated ◽

The Right ◽

Plexus Papilloma

A 6-year-old female Cocker Spaniel with a choroid plexus papilloma had clinical signs of disease of the central nervous system for 1 month. The neoplasm originated from the right choroid plexus of the fourth ventricle and had displaced contiguous parts of the medulla oblongata and cerebellum. It was well differentiated and was composed of papillae arranged in an arboriform pattern. The papillae were lined by a single layer of non ciliated epithelium.

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