A Case of Choroid Plexus Papilloma with Rare Location Presenting with Impaired Consciousness
Intraventricular papillary neoplasms originating from the choroid plexus epithelium are called choroid plexus tumors (CPT). In pediatric patients. The most common findings in CPT are seizures, subarachnoid hemorrhage, focal neurological deficits, hydrocephalus and symptoms of increased intracranial...
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Galenos Yayinevi
2019-03-01
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| Series: | İstanbul Medical Journal |
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http://imj.galenos.com.tr/archives/archive-detail/article-preview/a-case-of-choroid-plexus-papilloma-with-rare-locat/26351
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| author | Nurcan Ünal Muhammet Mesut Nezir Engin Önder Kılıçaslan İbrahim Feyyaz Naldemir Gülşen Yalçın Uğur Avcı Kenan Kocabay |
| author_facet | Nurcan Ünal Muhammet Mesut Nezir Engin Önder Kılıçaslan İbrahim Feyyaz Naldemir Gülşen Yalçın Uğur Avcı Kenan Kocabay |
| author_sort | Nurcan Ünal |
| collection | DOAJ |
| description | Intraventricular papillary neoplasms originating from the choroid plexus epithelium are called choroid plexus tumors (CPT). In pediatric patients. The most common findings in CPT are seizures, subarachnoid hemorrhage, focal neurological deficits, hydrocephalus and symptoms of increased intracranial pressure. A 4.5-month-old, previously healthy girl was admitted to our Pediatric Emergency Department with complaints of inadequate nutrition, vomiting and drowsiness in the last 2 days. The patient was admitted to the pediatric intensive care unit and saline loading treatment was initiated due to presumed dehydration caused by inadequate nutrition. As dehydration-related pathology was not detected, brain tomography scan was performed for possible cranial pathology and it revealed increased bilateral lateral ventricular diameters. As a result of magnetic resonance imaging results, the patient was diagnosed as having choroid plexus papilloma. After the shunt was inserted, the patient regained consciousness and an elective surgery was planned. Inadequate nutrition and drowsiness are the most common causes of admissions to pediatric emergency department, and these symptoms are usually due to dehydration. Cranial pathologies should be considered in patients who do not respond to fluid loading treatments and whose laboratory findings and vital signs are stable. As in our patient, the patients with choroid plexus papilloma should be evaluated clinically and shunt surgery should be performed firstly. Timing of surgery should be decided according to the effect and clinical status. |
| first_indexed | 2024-04-10T11:49:52Z |
| format | Article |
| id | doaj.art-d478439c8c7f43a7979b0d900e99db13 |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T11:49:52Z |
| publishDate | 2019-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-d478439c8c7f43a7979b0d900e99db132023-02-15T16:17:11ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2019-03-0120215615810.4274/imj.galenos.2018.4471113049054A Case of Choroid Plexus Papilloma with Rare Location Presenting with Impaired ConsciousnessNurcan Ünal0Muhammet Mesut Nezir Engin1Önder Kılıçaslan2İbrahim Feyyaz Naldemir3Gülşen Yalçın4Uğur Avcı5Kenan Kocabay6 Düzce University Faculty of Medicine, Department of Pediatrics, Düzce, Turkey Düzce University Faculty of Medicine, Department of Pediatrics, Düzce, Turkey Düzce University Faculty of Medicine, Department of Pediatrics, Düzce, Turkey Düzce University Faculty of Medicine, Department of Radiology, Düzce, Turkey Düzce University Faculty of Medicine, Department of Pediatrics, Düzce, Turkey Düzce University Faculty of Medicine, Department of Pediatrics, Düzce, Turkey Düzce University Faculty of Medicine, Department of Pediatrics, Düzce, Turkey Intraventricular papillary neoplasms originating from the choroid plexus epithelium are called choroid plexus tumors (CPT). In pediatric patients. The most common findings in CPT are seizures, subarachnoid hemorrhage, focal neurological deficits, hydrocephalus and symptoms of increased intracranial pressure. A 4.5-month-old, previously healthy girl was admitted to our Pediatric Emergency Department with complaints of inadequate nutrition, vomiting and drowsiness in the last 2 days. The patient was admitted to the pediatric intensive care unit and saline loading treatment was initiated due to presumed dehydration caused by inadequate nutrition. As dehydration-related pathology was not detected, brain tomography scan was performed for possible cranial pathology and it revealed increased bilateral lateral ventricular diameters. As a result of magnetic resonance imaging results, the patient was diagnosed as having choroid plexus papilloma. After the shunt was inserted, the patient regained consciousness and an elective surgery was planned. Inadequate nutrition and drowsiness are the most common causes of admissions to pediatric emergency department, and these symptoms are usually due to dehydration. Cranial pathologies should be considered in patients who do not respond to fluid loading treatments and whose laboratory findings and vital signs are stable. As in our patient, the patients with choroid plexus papilloma should be evaluated clinically and shunt surgery should be performed firstly. Timing of surgery should be decided according to the effect and clinical status. http://imj.galenos.com.tr/archives/archive-detail/article-preview/a-case-of-choroid-plexus-papilloma-with-rare-locat/26351 Choroid plexus papillomahydrocephalusimpaired consciousness |
| spellingShingle | Nurcan Ünal Muhammet Mesut Nezir Engin Önder Kılıçaslan İbrahim Feyyaz Naldemir Gülşen Yalçın Uğur Avcı Kenan Kocabay A Case of Choroid Plexus Papilloma with Rare Location Presenting with Impaired Consciousness İstanbul Medical Journal Choroid plexus papilloma hydrocephalus impaired consciousness |
| title | A Case of Choroid Plexus Papilloma with Rare Location Presenting with Impaired Consciousness |
| title_full | A Case of Choroid Plexus Papilloma with Rare Location Presenting with Impaired Consciousness |
| title_fullStr | A Case of Choroid Plexus Papilloma with Rare Location Presenting with Impaired Consciousness |
| title_full_unstemmed | A Case of Choroid Plexus Papilloma with Rare Location Presenting with Impaired Consciousness |
| title_short | A Case of Choroid Plexus Papilloma with Rare Location Presenting with Impaired Consciousness |
| title_sort | case of choroid plexus papilloma with rare location presenting with impaired consciousness |
| topic | Choroid plexus papilloma hydrocephalus impaired consciousness |
| url |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/a-case-of-choroid-plexus-papilloma-with-rare-locat/26351
|
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