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一例罕见的同时发生的脑室内脑膜瘤和脉络丛乳头状瘤病例报告

A Rare Case of Concurrent Intraventricular Meningioma and Choroid Plexus Papilloma: A Case Report.

作者信息

Markov Daniel, Bechev Kristian, Khalid Usman, Aleksiev Vladimir, Markov Galabin, Poryazova Elena

机构信息

Department of General and Clinical Pathology, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria.

Department of Clinical Pathology, University Multidisciplinary Hospital for Active Treatment (UMHAT) "Pulmed", 4002 Plovdiv, Bulgaria.

出版信息

Medicina (Kaunas). 2024 Dec 22;60(12):2100. doi: 10.3390/medicina60122100.

DOI:10.3390/medicina60122100
PMID:39768979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11679289/
Abstract

This case presents an unusual combination between an intraventricular meningioma and a choroid plexus papilloma. Intraventricular meningiomas are rare intraventricular tumors presenting with symptoms of hydrocephalus, headache, and neurological deficits. The rarity of choroid plexus papillomas is highlighted in medical diagnostics, with the majority of these findings being incidental within the setting of obstructive hydrocephalus. We present the case of a 66-year-old male patient who exhibited symptoms of headaches. Magnetic resonance imaging showed the presence of an intraventricular tumor in the region of the trigone of the right lateral ventricle, which was assessed for surgical removal. A postoperative hemorrhage necessitated a reoperation, after which the patient began to gradually recover. Hemianopsian disturbances persisted during and after his hospital stay. This report describes a rare case of concurrent choroid plexus papilloma and ventricular meningioma, manifesting as a single tumor mass.

摘要

该病例呈现出脑室内脑膜瘤与脉络丛乳头状瘤的罕见组合。脑室内脑膜瘤是罕见的脑室内肿瘤,表现为脑积水、头痛和神经功能缺损症状。脉络丛乳头状瘤在医学诊断中较为罕见,这些发现大多在梗阻性脑积水的情况下为偶然发现。我们报告一例66岁男性患者,其表现出头痛症状。磁共振成像显示右侧脑室三角区存在一个脑室内肿瘤,经评估需手术切除。术后出血需要再次手术,术后患者开始逐渐康复。住院期间及出院后偏盲障碍持续存在。本报告描述了一例罕见的并发脉络丛乳头状瘤和脑室脑膜瘤的病例,表现为单个肿瘤肿块。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9699/11679289/42172c549803/medicina-60-02100-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9699/11679289/7d705b97710f/medicina-60-02100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9699/11679289/42172c549803/medicina-60-02100-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9699/11679289/7d705b97710f/medicina-60-02100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9699/11679289/42172c549803/medicina-60-02100-g002.jpg

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本文引用的文献

1
Atypical choroid plexus papilloma: Diagnosis and differentials: A case report.非典型脉络丛乳头状瘤:诊断与鉴别诊断:一例报告
SAGE Open Med Case Rep. 2024 May 17;12:2050313X241254000. doi: 10.1177/2050313X241254000. eCollection 2024.
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Successful Surgical Treatment of a Giant Intraventricular Meningioma: A Case Report and Literature Review.巨大脑室内脑膜瘤的成功手术治疗:一例报告及文献复习
Medicina (Kaunas). 2024 Mar 29;60(4):560. doi: 10.3390/medicina60040560.
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A rare trifocal presentation of a choroid plexus papilloma: Case report and review of the literature.
脉络丛乳头状瘤的罕见三灶性表现:病例报告及文献复习
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Papillary Ependymoma of the Spinal Cord: A Case Report with Summary of Prior Published Cases.脊髓乳头状室管膜瘤:1例病例报告及既往发表病例总结
Asian J Neurosurg. 2019 Jan-Mar;14(1):223-226. doi: 10.4103/ajns.AJNS_250_17.