Tanaka Kazuhiro, Sasayama Takashi, Nishihara Masamitsu, Sakagami Yoshio, Kondoh Takeshi, Ohbayashi Chiho, Kohmura Eiji
Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.
J Clin Neurosci. 2009 Jan;16(1):121-4. doi: 10.1016/j.jocn.2008.02.021. Epub 2008 Nov 12.
Choroid plexus papilloma usually occurs in the lateral or the fourth ventricle. Primary choroid plexus papilloma of the cerebellopontine angle, as described here, is an uncommon lesion. A 42-year-old man presented with a 1-month history of dysphagia and gait unsteadiness. CT scans and MRI showed a large extra-axial tumor in the right cerebellopontine angle. Pathological study revealed that the lesion was choroid plexus papilloma. Repeat imaging conducted 1 year after the operation showed that the tumor had recurred with distinct cystic features. Pathological examination again revealed increased mitotic activity and supported a diagnosis of atypical choroid plexus papilloma.
脉络丛乳头状瘤通常发生在侧脑室或第四脑室。如本文所述,桥小脑角的原发性脉络丛乳头状瘤是一种罕见的病变。一名42岁男性,有1个月的吞咽困难和步态不稳病史。CT扫描和MRI显示右侧桥小脑角有一个巨大的轴外肿瘤。病理研究显示该病变为脉络丛乳头状瘤。术后1年复查影像学检查显示肿瘤复发,具有明显的囊性特征。再次病理检查显示有丝分裂活性增加,支持非典型脉络丛乳头状瘤的诊断。