Choroid plexus papilloma of the posterior third ventricle during infancy & childhood: report of two cases with management morbidities.
We report two cases of posterior third ventricular choroid plexus papilloma, one in an 8-month-old infant and another in a two-year-old child. These cases presented with features of obstructive hydrocephalus. Both these patients underwent a ventriculo-peritoneal (VP) shunt surgery prior to the tumor excision. Following the VP shunt surgery both patients developed ascitis requiring exteriorization of the abdominal end of the shunt. There was a clear proof of CSF overproduction: 1400-1500 ml/day in the eight-month-old infant and 900-1200 ml/day in the two-year-old child. In the former it was transient and could be treated with revision of the VP shunt whereas in the second case a ventriculo-arterial shunt had to be done. In the second case a staged reduction cranioplasty was also performed for an enormously enlarged head (head circumference--74 cm). Interesting clinical and radiological findings and useful management strategies are described.
Pawar
S J
SJ
The National Neurosurgical Centre, Khoula Hospital, Post Box 90, Postal Code 116, Mina-Al-Fahal, Muscat, Sultanate of Oman.
Sharma
R R
RR
Mahapatra
A K
AK
Lad
S D
SD
Musa
M M
MM
D002551:Cerebral Ventricle Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000601:surgery; D007223:Infant; D008297:Male; D020288:Papilloma, Choroid Plexus / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D020542:Third Ventricle; D017287:Ventriculoperitoneal Shunt