Giant intracerebral choroid plexus calcification.
While small calcifications of the choroid plexus are frequent, a large, single intracerebral calcification originating from the choroid plexus is rare. This report presents a 27-year-old woman who was admitted because of right temporal headache which had persisted for months. There was no neurological deficit. Computed tomography demonstrated a mass of calcium density measuring approximately 3 x 3 x 4 cm in the right temporal region, extending to the temporal skull base and to the rostral edge of the petrous bone. At surgery a very hard, poorly vascularised tumour originating from the choroid plexus of the temporal horn of the right lateral ventricle was completely removed. Histological workup yielded the diagnosis of a markedly calcified choroid plexus with no indication of neoplasia or inflammation. Physiological intracranial calcifications resulting from local tissue dystrophy are usually incidental. In the case presented here, a large intracerebral choroid plexus calcification was detected in a patient presenting with episodes of severe headache. The potential pathogenetic mechanism is discussed.
Picht
T
T
Department of Neurosurgery, Charité--Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany. thomas.picht@charite.de
Stendel
R
R
Stoltenburg-Didinger
G
G
Brock
M
M
D000328:Adult; D001927:Brain Diseases / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D002114:Calcinosis / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D002831:Choroid Plexus / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans