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Choroid plexus papilloma in a Nigerian child: a case report
O B Bankole1, O A Ojo, O O Kanu
1Department of Surgery, College of Medicine University of Lagos, Lagos University Teaching Hospital, P.M.B 12003, Lagos, Nigeria.
Insights
Choroid plexus papilloma, a rare cause of childhood hydrocephalus, was diagnosed in an 8-month-old girl. Early diagnosis and surgical treatment offer a good prognosis for this intraventricular tumor.
Area of Science:
- Pediatric Neurosurgery
- Neuro-oncology
- Pediatric Neurology
Background:
- Hydrocephalus is a common neurological condition in children, often caused by various factors.
- Choroid plexus papilloma (CPP) is a rare intraventricular tumor that can lead to hydrocephalus.
- Accurate and timely diagnosis is crucial for effective management of pediatric hydrocephalus.
Observation:
- An 8-month-old girl presented with symptoms initially suggestive of post-infective hydrocephalus.
- Cranial CT revealed an intraventricular tumor, later diagnosed as Choroid Plexus Papilloma post-surgery.
- This case represents a rare diagnosis within the hospital and the sub-Saharan African region.
Findings:
- Surgical resection of the Choroid Plexus Papilloma was successfully performed.
- The patient demonstrated a positive response to treatment, indicating a good prognosis.
- The case underscores the importance of considering uncommon etiologies for hydrocephalus.
Implications:
- Highlights the curable nature and favorable outcomes associated with Choroid Plexus Papilloma.
- Emphasizes the need for a high index of suspicion for atypical hydrocephalus presentations in pediatric patients.
- Points to challenges in diagnosing rare neurological conditions in sub-Saharan Africa, including limited access to advanced imaging and specialist care.
Abstract:
Choroid plexus papilloma is a rare but known cause of hydrocephalus among children. We report the case of an 8 month old girl who clinically was thought to have post-infective Hydrocephalus. Cranial CT however showed an associated intra-ventricular tumour which after surgical resection was reported as a Choroid plexus papilloma. This is the first time such a case is being diagnosed at our hospital and very few cases have been documented in literature from sub-Saharan Africa. This case highlights the available treatment and good prognosis that is possible with Choroid plexus papilloma. It also highlights the need for a high index of suspicion for less common causes of an enlarging head especially when the clinical picture is not typical as demonstrated in our patient. The seeming rarity of this disease in our environment may be partly due to the limited availability of CT scanners in many centres and the paucity of Neuroradiologist and Neurosurgeons in sub-Saharan Africa.
