Uncommon presentation of choroid plexus papilloma in an infant
Sharad Pandey1, Vivek Sharma1, Kulwant Singh1
1Department of Neuro Surgery, Sir Sunderlal Hospital, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Insights
A rare choroid plexus papilloma in a child presented unusually with intraventricular hemorrhage and seizures. This case highlights atypical presentations of these primary brain tumors.
Area of Science:
- Neuro-oncology
- Pediatric Neurology
- Neurosurgery
Background:
- Choroid plexus tumors are rare primary brain neoplasms originating from differentiated epithelial tissue, predominantly well-differentiated papillomas.
- Commonly found in the fourth ventricle in adults and lateral ventricles in children, these tumors represent a small fraction of central nervous system neoplasms.
Observation:
- A pediatric case involving a choroid plexus papilloma located in the temporal horn of the lateral ventricle is presented.
- The patient, a young female, exhibited rare symptoms including sudden intraventricular hemorrhage and recurrent seizures.
- Notably, the patient did not display typical signs of increased intracranial pressure.
Findings:
- The case details a choroid plexus papilloma, a type of primary brain tumor, situated within the temporal horn of a lateral ventricle.
- The tumor's presentation was marked by an acute intraventricular hemorrhage and multiple seizure episodes.
- Absence of elevated intracranial pressure symptoms was a distinguishing clinical feature.
Implications:
- This case underscores the importance of considering atypical presentations for choroid plexus tumors, even without classic symptoms.
- It highlights the diagnostic challenges and varied clinical manifestations of primary brain tumors in pediatric patients.
- Understanding rare presentations is crucial for timely diagnosis and management of central nervous system neoplasms.
Abstract:
Choroid plexus tumors are relatively rare primary brain tumors that arise from the epithelial differentiated tissue, majority being well-differentiated papillomas. In adults, fourth ventricle and in children, lateral ventricles are the most common site of these tumors. We reported a case of choroid plexus papilloma in the temporal horn of lateral ventricle in a female child who presented with the uncommon symptoms of sudden intraventricular hemorrhage and multiple episodes of seizure without symptoms of raised intracranial tension.
