RSS-Feed abonnieren
DOI: 10.1055/s-0043-1771212
Endoscopic Excision of Third Ventricle Choroid Plexus Papilloma
Abstract
Choroid plexus papilloma is a rare intraventricular tumor in children. Its management poses a challenge. Here we describe such a case of third ventricular choroid plexus papilloma and its endoscopic excision through a single burr hole. A 1-year-old child presented with headache, vomiting, and a large head with sunset sign and tense fontanel. Computed tomography (CT) and magnetic resonance imaging brain plain and contrast revealed dilated ventricles with a frondlike mass in the third ventricle with intense contrast enhancement, suggestive of choroid plexus papilloma of the third ventricle. The lesion was excised completely using an endoscope placed through a single burr hole at the right Kocher's point. Postoperative recovery was uneventful. The child was relieved of his symptoms. CT scan revealed complete removal of the lesion. Histopathology confirmed the diagnosis of choroid plexus papilloma. We document our surgical experience and present an edited video of the surgery. The key steps and nuances are described in the audio timeline. The authors acknowledge the feasibility of performing this complex surgery via a minimally invasive method, which has not been accepted routinely for this pathology.
Note
A written informed consent has been obtained from the parents.
Publikationsverlauf
Artikel online veröffentlicht:
26. Juli 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Sufianov AA, Gaibov SSK, Sufianov RA. Endoscopic monoportal removal of a choroid plexus papilloma in the posterior third ventricle in a child. J Neurosurg Pediatr 2015; 16 (01) 107-111
- 2 Koeller KK, Sandberg GD. Armed Forces Institute of Pathology. From the archives of the AFIP. Cerebral intraventricular neoplasms: radiologic-pathologic correlation. Radiographics 2002; 22 (06) 1473-1505
- 3 Sahana D, Rathore L, Kumar S, Sahu RK. Endoscopic anatomy of lateral and third ventricles: a must know for performing endoscopic third ventriculostomy. Neurol India 2021; 69 (01) 45-48
- 4 Meng H, Feng H, Zhang L, Wang J. Endoscopic removal of a cystic choroid plexus papilloma of the third ventricle: a case report and review of the literature. Clin Neurol Neurosurg 2011; 113 (07) 582-585
- 5 Reddy D, Gunnarsson T, Scheinemann K, Provias JP, Singh SK. Combined staged endoscopic and microsurgical approach of a third ventricular choroid plexus papilloma in an infant. Minim Invasive Neurosurg 2011; 54 (5-6): 264-267
- 6 Santos MM, Souweidane MM. Purely endoscopic resection of a choroid plexus papilloma of the third ventricle: case report. J Neurosurg Pediatr 2015; 16 (01) 54-57
- 7 Selvanathan SK, Kumar R, Goodden J, Tyagi A, Chumas P. Evolving instrumentation for endoscopic tumour removal of CNS tumours. Acta Neurochir (Wien) 2013; 155 (01) 135-138
- 8 Gerard AWL, Tailor J, Gradil C, Thakur B, Zebian B. Letter to the Editor: endoscopic resection of intraventricular choroid plexus papillomas in infants. J Neurosurg Pediatr 2017; 19 (01) 122-125