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成人癫痫发作表现的颞角脉络丛乳头状瘤:临床病例报告及文献复习。

Temporal Horn Choroid Plexus Papilloma Presenting with Seizures in Adulthood: Clinical Case Report and Review of the Literature.

机构信息

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA; Department of Neurosurgery, Barrow Neurological Institute, Chandler Regional Medical Center, Chandler, Arizona, USA.

Mayo Clinic School of Medicine, Scottsdale, Arizona, USA.

出版信息

World Neurosurg. 2019 Dec;132:403-407. doi: 10.1016/j.wneu.2019.08.201. Epub 2019 Sep 5.

Abstract

BACKGROUND

Choroid plexus papillomas (CPPs) are benign World Health Organization grade I tumors that comprise 2%-4% of all brain tumors among children and less than 1% of brain tumors in adults. Most adult cases occur in the fourth ventricle, with only 1 previous report describing an adult patient with a temporal horn CPP.

CASE DESCRIPTION

We report a rare case of a temporal horn CPP presenting in an adult with seizures. We performed a minimally invasive subtemporal approach for gross total resection of the lesion.

CONCLUSIONS

CPP presenting in the temporal horn is rare among adults. We discuss the surgical nuances of the subtemporal approach for resection and review the literature regarding adult presentation of CPP and the treatment strategies for adult CPP.

摘要

背景

脉络丛乳头状瘤(CPPs)是良性的世界卫生组织 1 级肿瘤,占儿童所有脑肿瘤的 2%-4%,不到成人脑肿瘤的 1%。大多数成人病例发生在第四脑室,仅有 1 例先前的报告描述了一例成人患者的颞角 CPP。

病例描述

我们报告了一例罕见的成人颞角 CPP 病例,该患者表现为癫痫发作。我们采用微创的颞下入路行大体全切除。

结论

成人中颞角 CPP 较为罕见。我们讨论了颞下入路切除的手术细节,并回顾了关于成人 CPP 表现和成人 CPP 治疗策略的文献。

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