Water-Filled Vesicles of Choroid Plexus Tumors
Mehmet Dumlu Aydin1, Ayhan Kanat2, Nuh Cagri Karaavci3
1Ataturk University Medical Faculty Department of Neurosurgery, Erzurum.
Insights
Choroid plexus cysts can cause hydrocephalus through cerebrospinal fluid (CSF) overproduction or blockage. This study highlights the importance of investigating water-filled vesicles in these cases.
Area of Science:
- Neuroscience
- Pediatric Neurosurgery
- Cerebrospinal Fluid Dynamics
Background:
- Choroid plexus cysts are common neuroepithelial cysts.
- Hydrocephalus is a condition characterized by excess cerebrospinal fluid (CSF) accumulation in the brain.
Observation:
- Two cases of hydrocephalus associated with choroid plexus cysts are presented.
- Case 1: A 1-year-old child with hydrocephalus treated via endoscopic fenestration of choroid plexus cysts.
- Case 2: A 63-year-old male with a tumor obstructing the aqueduct of Sylvius, impacting the choroid plexus.
Findings:
- Histological examination revealed choroid epithelium and water-filled vesicles in the cyst wall.
- The first case demonstrated CSF overproduction due to water-filled vesicles.
- The second case indicated hydrocephalus caused by tumor-induced blockage of CSF pathways, not CSF overproduction.
Implications:
- This study reports novel cases of hydrocephalus linked to water-filled vesicles within choroid plexus cysts.
- Findings underscore the necessity of examining water-filled vesicles in patients with hydrocephalus and choroid plexus abnormalities.
- Understanding the varied mechanisms of hydrocephalus in these cases can inform treatment strategies.
Objective:
Choroid plexus cysts are the most common neuro-epithelial cysts.
Methods:
The authors describe 2 cases. The first case is a 1-year-old child presenting with hydrocephalus and cyst of the choroid plexus. The child was treated with endoscopic fenestration of the cysts.
Results:
The histological examination of the cyst wall was consistent with choroid epithelium and water-filled vesicles. The second case is a 63 year old male with a highly vascularized tumor extending to choroid plexus. A quaductus Silvius was obstructed by the tumor. The histopathologic examination of choroid plexus showed a low number, water-vesicles.
Conclusions:
According to our knowledge, there are no previous reports of water-filled vesicles with choroid plexus cyst causing hydrocephalus. The first case is a good example of over secretion of cerebrospinal fluid (CSF) with the water-filled vesicle. The second case with low number of water filled vesicle shows that the cause of hydrocephalus is not over production of CSF, it is blockage of the CSF pathway in Aquaductus Silvius by the tumor itself. These 2 cases are illustrative and more importantly highlight the need to study for water-filled vesicles in these kind of cases.
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