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Manual Segmentation of the Human Choroid Plexus Using Brain MRI
Published on: December 15, 2023
Choroid plexus papilloma associated with developmental delay
Abhishek Agarwal1, Sandeep Chopra, A D Sehgal
1Unit of Pediatric Neurosurgety, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, India. dr_abhi_agrawal@yahoo.co.in
Insights
Choroid plexus papillomas, rare brain tumors in children, can cause developmental delays due to hydrocephalus. Surgical removal of these tumors led to the patient's developmental recovery.
Area of Science:
- Neuro-oncology
- Pediatric Neurosurgery
- Developmental Pediatrics
Background:
- Choroid plexus papillomas are uncommon, benign tumors originating from neuroectodermal tissue.
- These tumors typically manifest in the lateral ventricles of pediatric patients.
- Presenting symptoms often relate to hydrocephalus and elevated intracranial pressure.
Observation:
- A pediatric case presented with delayed developmental milestones.
- Diagnostic evaluation revealed a choroid plexus papilloma accompanied by hydrocephalus.
- The patient exhibited clinical signs indicative of increased intracranial pressure secondary to the tumor and hydrocephalus.
Findings:
- Complete surgical excision of the choroid plexus papilloma was performed.
- Post-operative monitoring indicated a gradual resolution of hydrocephalus.
- The patient demonstrated progressive improvement in developmental milestones following tumor removal.
Implications:
- Early diagnosis and surgical intervention are crucial for managing choroid plexus papillomas in children.
- Complete tumor resection can lead to significant neurological recovery and improved developmental outcomes.
- This case highlights the importance of considering rare tumors in the differential diagnosis of pediatric developmental delays.
Abstract:
Choroid plexus papillomas are rare, benign tumors of neuroectodermal origin usually observed in the lateral ventricles of children. The usual presenting signs of choroid plexus papillomas are related to hydrocephalus and increased intracranial pressure. A child presented to us with clinical features of delayed milestones, which was later diagnosed as a case of choroid plexus papilloma with hydrocephalus. He underwent complete excision of the tumour with gradual recovery of milestones.
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