Unique Presentation of Cerebellopontine Angle Choroid Plexus Papillomas: Case Report and Review of the Literature

Abstract Objectives We present the case of a choroid plexus papilloma (CPP) in the cerebellopontine angle (CPA), describe the different appearances of CPPs with a variety of imaging techniques, and discuss the differential diagnosis of CPA tumors. Participant and Design We...

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Main Authors: Mark Anderson, Parker Babington, Reza Taheri, Mairo Diolombi, Jonathan H. Sherman
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2014-08-01
Series:Journal of Neurological Surgery Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358378
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author Mark Anderson
Parker Babington
Reza Taheri
Mairo Diolombi
Jonathan H. Sherman
author_facet Mark Anderson
Parker Babington
Reza Taheri
Mairo Diolombi
Jonathan H. Sherman
author_sort Mark Anderson
collection DOAJ
description Abstract Objectives We present the case of a choroid plexus papilloma (CPP) in the cerebellopontine angle (CPA), describe the different appearances of CPPs with a variety of imaging techniques, and discuss the differential diagnosis of CPA tumors. Participant and Design We report the case of a 52-year-old woman with headache, tinnitus, and unilateral hearing impairment whose preoperative magnetic resonance imaging revealed a heterogeneously enhancing CPA mass that extended into the internal auditory canal. Main Outcome Measures, Results, and Conclusion The preoperative imaging appearance of the lesion was most consistent with that of a schwannoma. Postoperative histopathologic examination found the tumor to be a CPP with cuboidal epithelial cells overlying fibrovascular stroma. CPPs are rare benign central nervous system neoplasms arising from choroid plexus epithelium. The most common site of presentation is in the fourth ventricle in adults and the lateral ventricles in children. CPPs rarely occur in the CPA, and when they do, clinical-radiologic diagnosis is difficult due to both the rarity of this presentation and to nonspecific radiological features.
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spelling doaj.art-28e9409eae654335bd6821f4a3f0d4cc2022-12-22T02:47:26ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662014-08-017501e27e3210.1055/s-0033-1358378Unique Presentation of Cerebellopontine Angle Choroid Plexus Papillomas: Case Report and Review of the LiteratureMark Anderson0Parker Babington1Reza Taheri2Mairo Diolombi3Jonathan H. Sherman4School of Medicine, The George Washington University School of Medicine, Washington, District of Columbia, United StatesDepartment of Neurosurgery, The George Washington University, Washington, District of Columbia, United StatesDepartment of Radiology, The George Washington University, Washington, Washington, District of Columbia, United StatesDepartment of Pathology, The George Washington University, Washington, District of Columbia, United StatesDepartment of Neurosurgery, The George Washington University, Washington, District of Columbia, United StatesAbstract Objectives We present the case of a choroid plexus papilloma (CPP) in the cerebellopontine angle (CPA), describe the different appearances of CPPs with a variety of imaging techniques, and discuss the differential diagnosis of CPA tumors. Participant and Design We report the case of a 52-year-old woman with headache, tinnitus, and unilateral hearing impairment whose preoperative magnetic resonance imaging revealed a heterogeneously enhancing CPA mass that extended into the internal auditory canal. Main Outcome Measures, Results, and Conclusion The preoperative imaging appearance of the lesion was most consistent with that of a schwannoma. Postoperative histopathologic examination found the tumor to be a CPP with cuboidal epithelial cells overlying fibrovascular stroma. CPPs are rare benign central nervous system neoplasms arising from choroid plexus epithelium. The most common site of presentation is in the fourth ventricle in adults and the lateral ventricles in children. CPPs rarely occur in the CPA, and when they do, clinical-radiologic diagnosis is difficult due to both the rarity of this presentation and to nonspecific radiological features.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358378cerebellopontine anglechoroid plexus papilloma
spellingShingle Mark Anderson
Parker Babington
Reza Taheri
Mairo Diolombi
Jonathan H. Sherman
Unique Presentation of Cerebellopontine Angle Choroid Plexus Papillomas: Case Report and Review of the Literature
Journal of Neurological Surgery Reports
cerebellopontine angle
choroid plexus papilloma
title Unique Presentation of Cerebellopontine Angle Choroid Plexus Papillomas: Case Report and Review of the Literature
title_full Unique Presentation of Cerebellopontine Angle Choroid Plexus Papillomas: Case Report and Review of the Literature
title_fullStr Unique Presentation of Cerebellopontine Angle Choroid Plexus Papillomas: Case Report and Review of the Literature
title_full_unstemmed Unique Presentation of Cerebellopontine Angle Choroid Plexus Papillomas: Case Report and Review of the Literature
title_short Unique Presentation of Cerebellopontine Angle Choroid Plexus Papillomas: Case Report and Review of the Literature
title_sort unique presentation of cerebellopontine angle choroid plexus papillomas case report and review of the literature
topic cerebellopontine angle
choroid plexus papilloma
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358378
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