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Case Reports
. 2022 Feb;38(2):429-433.
doi: 10.1007/s00381-021-05212-w. Epub 2021 May 19.

Pre-operative embolization for staged treatment of infantile choroid plexus papilloma

William M Mangham  1 , Lucas Elijovich  1   2   3 , Jorge A Lee-Diaz  4   5 , Brent A Orr  6 , Andrew J Gienapp  1   5 , Frederick A Boop  7   8   9
Affiliations
Case Reports

Pre-operative embolization for staged treatment of infantile choroid plexus papilloma

William M Mangham et al. Childs Nerv Syst. 2022 Feb.

Abstract

Choroid plexus papillomas (CPPs) are benign but rare neuroepithelial neoplasms of the choroid plexus that represent the non-malignant form of a spectrum of tumors of the choroid plexus. The vast majority of CPPs present in children under 5 years of age. Some CPPs are diagnosed prenatally, but many of them reach a large size before diagnosis. CPPs typically present with signs and symptoms of hydrocephalus. Treatment of these tumors has traditionally been with surgical resection. Large CPPs in young children present a challenge due to risk of high blood loss during resection. Here, the authors describe the case of a 3-month-old presenting with hydrocephalus and a large CPP of the third ventricle that was managed with a staged strategy of embolization followed by a delayed resection, allowing the tumor to involute prior to surgery.

Keywords: Case report; Choroid plexus; Hydrocephalus; Infant; Papilloma; Third ventricle.

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References

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