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DOI: 10.1055/s-0045-1805012
Atypical Choroid Plexus Papilloma of the Foramen Luschka in an Adult: A Case Report and Literature Review
Papiloma atípico do plexo coróide do forame de Luschka em um adulto: Relato de caso e revisão da literatura Funding The authors declare that they did not receive funding from agencies in the public, private, or non-profit sectors to conduct the present study
Abstract
Choroid plexus papillomas are rare tumors of the central nervous system. They are mostly observed during childhood and are commonly located in the lateral ventricles. In adults, they are very rare and usually located in the fourth ventricle. We herein present a case of atypical choroid plexus papilloma of the foramen of Luschka in an adult. A 26-year-old male patient was presented with headache, dizziness, visual loss, and gait disturbance. Cranial imaging revealed a giant mass located in the foramen of Luschka with non-intense homogeneous contrast enhancement. Gross total removal of the tumor was achieved via the left telovelar approach. Transient swallowing difficulty and worsening of the nystagmus were observed in the early postoperative period. The patient was free of symptoms for 3 months postoperatively. The pathological examination yielded a diagnosis of atypical choroid plexus papilloma. We aimed to discuss the clinical findings and surgical treatment of the case.
Resumo
Os papilomas do plexo coroide são tumores raros do sistema nervoso central. Eles são observados principalmente durante a infância e são comumente localizados nos ventrículos laterais. Em adultos, eles são muito raros e geralmente localizados no quarto ventrículo. Apresentamos aqui um caso de papiloma atípico do plexo coroide do forame de Luschka em um adulto. Um paciente do sexo masculino de 26 anos apresentou dor de cabeça, tontura, perda visual e distúrbio da marcha. A imagem craniana revelou uma massa gigante localizada no forame de Luschka com realce homogêneo não intenso pelo contraste. A remoção total bruta do tumor foi obtida pela abordagem telovelar esquerda. Dificuldade transitória de deglutição e piora do nistagmo foram observadas no período pós-operatório inicial. O paciente ficou livre de sintomas por 3 meses no pós-operatório. O exame patológico produziu um diagnóstico de papiloma atípico do plexo coroide. Nosso objetivo foi discutir os achados clínicos e o tratamento cirúrgico do caso.
Informed consent
Informed consent was obtained from all the individuals included in the study.
Declaration of Patient Consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that name and initials will not be published, and that due efforts will be made to conceal identity, but anonymity cannot be guaranteed.
Publikationsverlauf
Eingereicht: 03. Mai 2023
Angenommen: 23. Oktober 2024
Artikel online veröffentlicht:
27. März 2025
© 2025. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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