Pineal region lesion masquerading choroid plexus papilloma: Case report

Choroid plexus papillomas (CPPs) are rare intracranial neoplasms, especially in the third ventricle. We report a patient with a posterior third ventricular CPP extending into the pineal that radiographically and clinically presented as a pineal region lesion. In a 51-year-old female with headache an...

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Bibliographic Details
Published in:Surgical neurology 2003-02, Vol.59 (2), p.124-127
Main Authors: Kroppenstedt, Stefan-Nikolaus, Golfinos, John, Sonntag, Volker K.H, Spetzler, Robert F
Format: Article
Language:English
Subjects:
Choroid plexus papilloma
Diagnosis, Differential
Female
Humans
infratentorial-supracerebellar approach
Magnetic Resonance Imaging
Middle Aged
Neoplasm Invasiveness
Neurosurgical Procedures - methods
Papilloma, Choroid Plexus - pathology
Papilloma, Choroid Plexus - surgery
pineal region lesion
Pinealoma - pathology
Pinealoma - surgery
Postoperative Care
Third Ventricle - pathology
Third Ventricle - surgery
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Description
Summary:Choroid plexus papillomas (CPPs) are rare intracranial neoplasms, especially in the third ventricle. We report a patient with a posterior third ventricular CPP extending into the pineal that radiographically and clinically presented as a pineal region lesion. In a 51-year-old female with headache and upward gaze impairment radiological examination showed a mass in the pineal region obstructing the aqueduct of Sylvius and causing hydrocephalus. After ventriculoperitoneal shunting the tumor was approached through the infratentorial-supracerebellar approach and pathological examination revealed a typical CPP. This case represents an unusual presentation of an intracranial CPP. This entity should be considered an extremely rare cause of a lesion in the pineal region.
ISSN:0090-3019
1879-3339
DOI:10.1016/S0090-3019(02)00988-6