Endoscopic Excision of Third Ventricle Choroid Plexus Papilloma
Choroid plexus papilloma is a rare intraventricular tumor in children. Its management poses a challenge. Here we describe such a case of third ventricular choroid plexus papilloma and its endoscopic excision through a single burr hole. A 1-year-old child presented with headache, vomiting, and a larg...
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Format: | Article |
Language: | English |
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Thieme Medical Publishers, Inc.
2023-12-01
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Series: | Indian Journal of Neurosurgery |
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1771212 |
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author | Lavlesh Rathore Debabrata Sahana Sanjeev Kumar Rajiv K. Sahu |
author_facet | Lavlesh Rathore Debabrata Sahana Sanjeev Kumar Rajiv K. Sahu |
author_sort | Lavlesh Rathore |
collection | DOAJ |
description | Choroid plexus papilloma is a rare intraventricular tumor in children. Its management poses a challenge. Here we describe such a case of third ventricular choroid plexus papilloma and its endoscopic excision through a single burr hole. A 1-year-old child presented with headache, vomiting, and a large head with sunset sign and tense fontanel. Computed tomography (CT) and magnetic resonance imaging brain plain and contrast revealed dilated ventricles with a frondlike mass in the third ventricle with intense contrast enhancement, suggestive of choroid plexus papilloma of the third ventricle. The lesion was excised completely using an endoscope placed through a single burr hole at the right Kocher's point. Postoperative recovery was uneventful. The child was relieved of his symptoms. CT scan revealed complete removal of the lesion. Histopathology confirmed the diagnosis of choroid plexus papilloma. We document our surgical experience and present an edited video of the surgery. The key steps and nuances are described in the audio timeline. The authors acknowledge the feasibility of performing this complex surgery via a minimally invasive method, which has not been accepted routinely for this pathology. |
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institution | Directory Open Access Journal |
issn | 2277-954X 2277-9167 |
language | English |
last_indexed | 2024-03-08T23:57:39Z |
publishDate | 2023-12-01 |
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series | Indian Journal of Neurosurgery |
spelling | doaj.art-4b72ef8ff0824ea392744c1f8d5b43712023-12-12T23:52:59ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672023-12-01120327627810.1055/s-0043-1771212Endoscopic Excision of Third Ventricle Choroid Plexus PapillomaLavlesh Rathore0Debabrata Sahana1https://orcid.org/0000-0002-7754-7456Sanjeev Kumar2Rajiv K. Sahu3Department of Neurosurgery, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, IndiaDepartment of Neurosurgery, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, IndiaDepartment of Neurosurgery, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, IndiaDepartment of Neurosurgery, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, IndiaChoroid plexus papilloma is a rare intraventricular tumor in children. Its management poses a challenge. Here we describe such a case of third ventricular choroid plexus papilloma and its endoscopic excision through a single burr hole. A 1-year-old child presented with headache, vomiting, and a large head with sunset sign and tense fontanel. Computed tomography (CT) and magnetic resonance imaging brain plain and contrast revealed dilated ventricles with a frondlike mass in the third ventricle with intense contrast enhancement, suggestive of choroid plexus papilloma of the third ventricle. The lesion was excised completely using an endoscope placed through a single burr hole at the right Kocher's point. Postoperative recovery was uneventful. The child was relieved of his symptoms. CT scan revealed complete removal of the lesion. Histopathology confirmed the diagnosis of choroid plexus papilloma. We document our surgical experience and present an edited video of the surgery. The key steps and nuances are described in the audio timeline. The authors acknowledge the feasibility of performing this complex surgery via a minimally invasive method, which has not been accepted routinely for this pathology.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1771212choroid plexus papillomaendoscopic approachthird ventricle |
spellingShingle | Lavlesh Rathore Debabrata Sahana Sanjeev Kumar Rajiv K. Sahu Endoscopic Excision of Third Ventricle Choroid Plexus Papilloma Indian Journal of Neurosurgery choroid plexus papilloma endoscopic approach third ventricle |
title | Endoscopic Excision of Third Ventricle Choroid Plexus Papilloma |
title_full | Endoscopic Excision of Third Ventricle Choroid Plexus Papilloma |
title_fullStr | Endoscopic Excision of Third Ventricle Choroid Plexus Papilloma |
title_full_unstemmed | Endoscopic Excision of Third Ventricle Choroid Plexus Papilloma |
title_short | Endoscopic Excision of Third Ventricle Choroid Plexus Papilloma |
title_sort | endoscopic excision of third ventricle choroid plexus papilloma |
topic | choroid plexus papilloma endoscopic approach third ventricle |
url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1771212 |
work_keys_str_mv | AT lavleshrathore endoscopicexcisionofthirdventriclechoroidplexuspapilloma AT debabratasahana endoscopicexcisionofthirdventriclechoroidplexuspapilloma AT sanjeevkumar endoscopicexcisionofthirdventriclechoroidplexuspapilloma AT rajivksahu endoscopicexcisionofthirdventriclechoroidplexuspapilloma |