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Choroid Plexus Papilloma of the Fourth Ventricle in a Pediatric Patient: A Case Report
Luma Qutub1, Bandar Y Sulaimani2, Khalid T Alghamdi3
1College of Medicine, Batargi Medical College, Jeddah, SAU.
Insights
Choroid plexus papilloma (CPP) is a rare brain tumor. This case highlights a pediatric CPP in an uncommon location, emphasizing the need for broad differential diagnosis in suspected intracranial tumors.
Area of Science:
- Neuro-oncology
- Pediatric Neurosurgery
Background:
- Choroid plexus papilloma (CPP) is a rare intraventricular tumor.
- Tumor location in CPP typically varies with patient age: supratentorial in children and infratentorial in adults.
Observation:
- A pediatric patient presented with decreased activity, loss of interest, and gait imbalance over two months.
- The patient was diagnosed with a choroid plexus papilloma located in the fourth ventricle.
Findings:
- Surgical excision of the fourth ventricle CPP was successfully performed via suboccipital craniotomy.
- This case represents an uncommon infratentorial location for a pediatric CPP.
Implications:
- CPP should be considered in the differential diagnosis of intracranial tumors, irrespective of typical age-related locations.
- Broadening the diagnostic considerations for CPP can prevent misdiagnosis, especially in atypical presentations.
Abstract:
Choroid plexus papilloma (CPP) is a rare intraventricular tumor. The common locations of the tumor vary based on the age of the patient. It usually occurs in the supratentorial region in children, however in adult patients, these tumors commonly present in the infratentorial region. We are presenting a rare case of a pediatric patient with a two month history of decreased activity and loss of interest in his surroundings and gait imbalance. He underwent a suboccipital craniotomy and excision of a CPP in the fourth ventricle. In conclusion, CCP should be considered as part of the differential diagnosis of intracranial tumors when the clinical presentation and investigations are suggestive regardless of the location to avoid misdiagnosing it when it occurs in an uncommon location.
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