Choroid plexus papilloma of the third ventricle: angiography, preoperative embolization, and histology.
We report a unique case of choroid plexus papilloma of the third ventricle in an 8-month-old girl in which preoperative embolization played a salient role in management. Initial surgery was aborted due to excessive bleeding. Cerebral angiography demonstrated enlarged posterior choroidal arteries feeding the tumor, and intense, persistent tumor staining. These vessels were effectively embolized to stasis with polyvinyl alcohol particles. The patient underwent a second craniotomy and complete resection of the tumor with minimal blood loss. Postsurgical histology showed postembolization iatrogenic intratumoral necrosis.
Do
H M
HM
Department of Radiology, Stanford University Medical Center, CA 94305-5105, USA. huymdo@stanford.edu
Marx
W F
WF
Khanam
H
H
Jensen
M E
ME
D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007223:Infant; D009336:Necrosis; D020288:Papilloma, Choroid Plexus / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D011142:Polyvinyl Alcohol / Q000627:therapeutic use; D011300:Preoperative Care; D020542:Third Ventricle / Q000473:pathology*
D011142:Polyvinyl Alcohol