Aydin Mehmet Dumlu, Kanat Ayhan, Karaavci Nuh Cagri, Sahin Hakan, Ozmen Sevilay
Ataturk University Medical Faculty Department of Neurosurgery, Erzurum.
Recep Tayyip Erdogan University, Medical Faculty, Department of Neurosurgery, Rize.
J Craniofac Surg. 2019 Oct;30(7):2171-2173. doi: 10.1097/SCS.0000000000005735.
Choroid plexus cysts are the most common neuro-epithelial cysts.
The authors describe 2 cases. The first case is a 1-year-old child presenting with hydrocephalus and cyst of the choroid plexus. The child was treated with endoscopic fenestration of the cysts.
The histological examination of the cyst wall was consistent with choroid epithelium and water-filled vesicles. The second case is a 63 year old male with a highly vascularized tumor extending to choroid plexus. A quaductus Silvius was obstructed by the tumor. The histopathologic examination of choroid plexus showed a low number, water-vesicles.
According to our knowledge, there are no previous reports of water-filled vesicles with choroid plexus cyst causing hydrocephalus. The first case is a good example of over secretion of cerebrospinal fluid (CSF) with the water-filled vesicle. The second case with low number of water filled vesicle shows that the cause of hydrocephalus is not over production of CSF, it is blockage of the CSF pathway in Aquaductus Silvius by the tumor itself. These 2 cases are illustrative and more importantly highlight the need to study for water-filled vesicles in these kind of cases.
脉络丛囊肿是最常见的神经上皮囊肿。
作者描述了2例病例。第一例是一名1岁儿童，表现为脑积水和脉络丛囊肿。该患儿接受了囊肿内镜开窗术治疗。
囊肿壁的组织学检查与脉络丛上皮和充满水的囊泡一致。第二例是一名63岁男性，有一个高度血管化的肿瘤延伸至脉络丛。中脑导水管被肿瘤阻塞。脉络丛的组织病理学检查显示囊泡数量较少。
据我们所知，以前没有关于充满水的囊泡伴脉络丛囊肿导致脑积水的报道。第一例是充满水的囊泡导致脑脊液过度分泌的一个很好的例子。第二例囊泡数量较少表明脑积水的原因不是脑脊液过度产生，而是肿瘤本身阻塞了中脑导水管的脑脊液通路。这2例具有说明性，更重要的是突出了在这类病例中研究充满水的囊泡的必要性。
