Endoscopic endonasal transplanum transtuberculum resection of a large solid choroid plexus papilloma of the third ventricle |
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| Affiliation: | 1. Indiana University, Department of Neurological Surgery and Goodman Campbell Brain and Spine, 355 W. 16th Street, Suite 5100, Indianapolis, IN 46202, USA;2. Indiana University, Department of Otolaryngology-Head and Neck Surgery, Indianapolis, IN, USA;3. Indiana University, Department of Pathology and Laboratory Medicine, Indianapolis, IN, USA;1. University of Virginia, Department of Neurological Surgery, P.O. Box 800212, Charlottesville, VA 22908, USA;2. University of Virginia, Department of Radiology, Charlottesville, VA, USA;1. Department of Neurosurgery, University of Michigan, 1500 E. Medical Center Drive, Room 3552 TC, Ann Arbor, MI 48109-5338, USA;2. Department of Orthopedics, University of Michigan, Ann Arbor, MI, USA;1. Department of Neurology, Sydney Children’s Hospital and University of NSW, High Street, Randwick, NSW 2031, Australia;2. Department of Pediatrics & Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong;3. Pediatric Neurology, Tungs’ Taichung MetroHarbor Hospital, Taichung, Taiwan;4. Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan;5. Division of Pediatric Neurology, Severance Children’s Hospital, Yonsei University College of Medicine, Seoul, South Korea;6. Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, South Korea;7. Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand;8. Child Neuroscience Center, Philippine Children’s Medical Center, Quezon City, Philippines;9. International Institute for Neurosciences, St. Luke’s Medical Center, Quezon City, Philippines;10. Neurosciences Unit, Mater Children’s Hospital, Brisbane, QLD, Australia;11. Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore;12. Khoo Teck Puat-National University Children’s Medical Institute, National University Health System, Singapore;13. Department of Medical Oncology, National Cancer Centre, Singapore;1. Cerebrovascular Center, Cleveland Clinic, Cleveland, OH, USA;2. Departments of Neurosurgery and Radiology, University of Texas Southwestern, Dallas, TX, USA;1. Department of Physiotherapy, Technological Educational Institute of Athens, 24 Mitrodorou Street, 10441 AK. Platonos, Athens, Greece;2. Department of Neurology, School of Medicine, University of Ioannina, Greece;3. Second Department of Neurology, Attikon Hospital, National and Kapodistrian University of Athens, Athina, Greece |
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| Abstract: | Choroid plexus papilloma (CPP) is a highly vascular solid or mixed solid-cystic tumor. Previously described resection techniques for the more common solid CPP in the third ventricle have all been through the transcranial route. The authors review the literature and describe a patient who, to their knowledge, is the first successful resection of a large, completely solid CPP of the third ventricle through an entirely endoscopic, extended transphenoidal approach. Using modern neuroendoscopic methods and closure techniques, a gross total resection was accomplished and a successful closure without postoperative cerebrospinal fluid leak was achieved despite the presence of preoperative hydrocephalus. For appropriately selected lesions, an extended endonasal skull base resection can be performed successfully for vascular tumors despite the presence of preoperative hydrocephalus. |
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| Keywords: | Choroid plexus papilloma Endoscopic surgery Skull base Third ventricle |
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