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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Main Authors: Lavlesh Rathore, Debabrata Sahana, Sanjeev Kumar, Rajiv K. Sahu
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2023-12-01
Series:Indian Journal of Neurosurgery
Subjects:
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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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