Choroid plexus papillomas of the III ventricle in infants - Report of three cases
Choroid plexus papillomas of the III ventricle in infants - Report of three cases
复制标题
DOI：
10.1007/s003810050077
复制
发表时间：
1997-05-01
影响因子：
1.4
通讯作者：
Lafuente, J
中科院分区：
文献类型：
--
作者：
Costa, JM;Ley, L;Lafuente, J
第三脑室是一个罕见的位置脉络丛乳头状瘤在任何年龄。我们描述了三个新的情况下，脉络丛乳头状瘤的第三脑室（CPPs）。所有儿童均为4个月以下的男孩，均表现为颅内压升高、脑积水和大头畸形。三人均接受术前电脑断层扫描（CT）及超音波检查。其中2例进行了磁共振成像（MRI）检查。第一个病例是用右皮质额叶经脑室入路和次全切除术治疗的，因此他需要通过经胼胝体入路进行第二次手术。在另外两个病例中，采用了经胼胝体入路。两名儿童需要永久性脑室-腹腔分流术。平均随访4.3年，没有发现任何神经功能缺损。分流的时机和需要是主要考虑因素。临床和影像学随访（CT和/或超声）对控制术后脑积水和硬膜下积液非常有帮助，在许多情况下避免了不必要的分流。手术入路，经皮质和经胼胝体，进行了讨论。
The III ventricle is an uncommon location for choroid plexus papilloma at any age. We describe three new cases of choroid plexus papillomas of the III ventricle (CPPs). All children were boys under 4 months of age and all presented with increased intracranial pressure, hydrocephalus and macrocephaly. The three were examined by preoperative computed tomography (CT) and ultrasonography. Two of them were investigated with magnetic resonance imaging (MRI). The first case was treated with a right corticofrontal transventricular approach and subtotal resection, so that he required a second operation through a transcallosal approach. In the other two cases a transcallosal approach was used. Two children needed permanent ventriculo-peritoneal shunts. The average follow-up of 4.3 years has revealed no neurological deficits in any case. The timing of and the need for shunting are major considerations. Clinical and imaging follow-up (CT and/or ultrasonography) are very helpful in controlling postoperative hydrocephalus and subdural effusion, avoiding unnecessary shunting in many cases. The operative approaches, transcortical and transcallosal, are discussed.