2018, Number 3
Choroid plexuses papilloma
Álvarez FHB, Cervantes MM, Miranda CZV
Language: Spanish
References: 0
Page: 28-32
PDF size: 129.22 Kb.
ABSTRACT
Introduction: the choroid plexus papilloma is a type of brain tumor or intraventricular papillary neoplasm of neuroectodermal origin (derived from the epithelium of the choroid plexus). Together with choroidal plexus carcinoma, of similar origin, it constitutes 3-5% of all childhood intracranial tumors.Objective: to present the case of a child with a diagnosis of choroid plexus papilloma with a prenatal history of ventriculomegaly.
Case presentation: male newborn born in the Hospital "Roberto Galindo Terán", in Cobija, Pando Department (Bolivia). He was born due to a cesarean birth at the 39th week, due to a prenatal history of ventriculomegaly, diagnosed in the transfontanellar ultrasound at 32 weeks. A cranial ultrasound was carried out with a neonatal transducer, in which a hyperechoic mass lobulated in the choroid plexuses with communicating hydrocephalus was observed at the level of the occipital horns. He was diagnosed with choroid plexus papilloma.
Discussion: surgical intervention is the treatment of choice for choroid plexus papillomas, since, in addition to removing the tumor, in most cases hydrocephalus is eliminated. Advances in surgical techniques ensure the removal or reduction of tumor vascular aference and, consequently, that the mortality rate is low.
Conclusions: in the presence of a neonate with a prenatal history of ventriculomegaly or signs and symptoms related to hydrocephalus, the presence of choroid plexus papilloma should be suspected. The diagnosis must be confirmed by imaging studies.