Choroid plexus acinar adenoma: a case report

Mucus-secreting adenomas or acinar adenoma of the choroid plexus are very rare. We report the case of a 79-year-old male with a 3-year history of occipital headaches with vomiting, ataxia and cerebellar signs. He was first seen due to difficulty while walking. He was admitted to the hospital with si...

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Bibliographic Details
Published in:Journal of neuro-oncology 2007-06, Vol.83 (2), p.191-197
Main Authors: Rembao-Bojórquez, Daniel, Vega, Rosalba, Bermúdez-Maldonado, Luis, Gutiérrez, Ramón, Salinas, Citlaltepetl, Tena-Suck, Martha
Format: Article
Language:English
Subjects:
Adenoma
Adenoma - complications
Adenoma - pathology
Adenoma - surgery
Aged
Ataxia
Brain cancer
Carcinoma, Acinar Cell - complications
Carcinoma, Acinar Cell - pathology
Carcinoma, Acinar Cell - surgery
Case reports
Cerebellum
Cerebral Ventricle Neoplasms - complications
Cerebral Ventricle Neoplasms - pathology
Cerebral Ventricle Neoplasms - surgery
Choroid plexus
Choroid Plexus Neoplasms - complications
Choroid Plexus Neoplasms - pathology
Choroid Plexus Neoplasms - surgery
Clinical deterioration
Fatal Outcome
Fourth Ventricle
Humans
Hydrocephalus
Hydrocephalus - etiology
Magnetic resonance imaging
Male
Postoperative Hemorrhage
Treatment Outcome
Tumors
Ventricle
Vomiting
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Summary:Mucus-secreting adenomas or acinar adenoma of the choroid plexus are very rare. We report the case of a 79-year-old male with a 3-year history of occipital headaches with vomiting, ataxia and cerebellar signs. He was first seen due to difficulty while walking. He was admitted to the hospital with significant tumor expansion and clinical deterioration. CT and MRI revealed obstructive hydrocephalus secondary to a large fourth ventricular cyst mass, which enhanced markedly on contrast administration. Pathological findings were consistent with an acinar choroid plexus adenoma. The tumor was attached to the ependymal lining and was strongly adhered to the walls and floor of the IV ventricle. Post-operative bleeding complicated partial removal of this tumor. The patient died 6 h after surgery.
ISSN:0167-594X
1573-7373
DOI:10.1007/s11060-006-9304-0