Endoscopic Excision of Third Ventricle Choroid Plexus Papilloma

IF 0.3 Q4 SURGERY Indian Journal of Neurosurgery Pub Date : 2023-07-26 DOI:10.1055/s-0043-1771212
Lavlesh Rathore, Debabrata Sahana, Sanjeev Kumar, Rajiv Sahu
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Abstract

Abstract Introduction  Choroid plexus papilloma is a rare intraventricular tumor in children. Its management poses a challenge. Here we describe such a case of third ventricular choroid plexus papilloma and its endoscopic excision through a single burr hole. Case Description  A 1-year-old child presented with headache, vomiting, and a large head with sunset sign and tense fontanel. Computed tomography (CT) and magnetic resonance imaging brain plain and contrast revealed dilated ventricles with a frondlike mass in the third ventricle with intense contrast enhancement, suggestive of choroid plexus papilloma of the third ventricle. The lesion was excised completely using an endoscope placed through a single burr hole at the right Kocher's point. Postoperative recovery was uneventful. The child was relieved of his symptoms. CT scan revealed complete removal of the lesion. Histopathology confirmed the diagnosis of choroid plexus papilloma. Results and Conclusion  We document our surgical experience and present an edited video of the surgery. The key steps and nuances are described in the audio timeline. The authors acknowledge the feasibility of performing this complex surgery via a minimally invasive method, which has not been accepted routinely for this pathology.
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内镜下第三脑室脉络丛乳头状瘤切除术
摘要简介脉络丛乳头状瘤是一种罕见的儿童脑室内肿瘤。它的管理构成了挑战。我们在此报告一例第三脑室脉络膜丛乳头状瘤,并透过单孔进行内窥镜切除。病例描述1岁儿童,主要表现为头痛、呕吐、头大、日落征、囟门紧张。计算机断层扫描(CT)和磁共振成像脑平及对比显示脑室扩张,第三脑室叶状肿块,对比度增强,提示第三脑室脉络膜丛乳头状瘤。病变完全切除使用内窥镜放置通过一个单一的孔在右侧Kocher的点。术后恢复顺利。孩子的症状减轻了。CT扫描显示病灶完全切除。组织病理学证实为脉络膜丛乳头状瘤。结果和结论我们记录了我们的手术经验,并呈现了一个编辑的手术视频。音频时间轴中描述了关键步骤和细微差别。作者承认通过微创方法进行这种复杂手术的可行性,这种方法尚未被常规接受。
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CiteScore
0.40
自引率
0.00%
发文量
52
审稿时长
12 weeks
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