Cao Li-Rong, Chen Jing, Zhang Rui-Ping, Hu Xiao-Li, Fang Yu-Lian, Cai Chun-Quan
Graduate College of Tianjin Medical University, Tianjin, China.
Department of Radiology, Tianjin Children's Hospital, Tianjin, China.
Pediatr Neurosurg. 2018;53(6):401-406. doi: 10.1159/000491639. Epub 2018 Nov 2.
Choroid plexus papilloma (CPP) is a rare benign tumor of the central nervous system. Bilateral lateral ventricle CPP is extremely uncommon. In this case report, we described a case of bilateral lateral ventricle CPP in a 4-month-old female patient conceived by in vitro fertilization (IVF). Neurological examination and imaging were performed. In neurological examination, meningeal irritation signs and sunset phenomenon were positive. Brain computed tomography (CT) and magnetic resonance imaging (MRI) displayed masses located in the trigone of the bilateral lateral ventricle with hydrocephalus. Contrast-enhanced MRI showed intense homogeneous enhancement. The diagnoses of bilateral lateral ventricle CPP related to hydrocephalus and extravasation of cerebrospinal fluid (CSF) were made. Repeated surgical procedures via parietotemporal craniotomy were performed, and the diagnosis was confirmed by histopathology examination. The patient presented with delayed development during a follow-up period of 1 year. In conclusion, imaging is an effective approach of investigation. CPP could be highly suspected according to the features of hydrocephalus, lobulated appearance, and homogeneous enhancement on imaging. Total surgical removal is a valid curative method for CPP.
脉络丛乳头状瘤(CPP)是一种罕见的中枢神经系统良性肿瘤。双侧侧脑室CPP极为罕见。在本病例报告中,我们描述了一例通过体外受精(IVF)受孕的4个月大女性患者的双侧侧脑室CPP病例。进行了神经学检查和影像学检查。在神经学检查中,脑膜刺激征和落日现象呈阳性。脑部计算机断层扫描(CT)和磁共振成像(MRI)显示双侧侧脑室三角区有肿块伴脑积水。增强MRI显示强烈均匀强化。诊断为双侧侧脑室CPP伴脑积水和脑脊液(CSF)外渗。通过颞顶开颅术进行了多次手术,并经组织病理学检查确诊。在1年的随访期内,患者出现发育迟缓。总之,影像学是一种有效的检查方法。根据影像学上脑积水、分叶状外观和均匀强化的特征,可高度怀疑CPP。全手术切除是治疗CPP的有效方法。