Symptomatic bilateral choroid plexus xanthogranuloma in a pediatric patient

Childs Nerv Syst. 2022 Jul;38(7):1377-1380. doi: 10.1007/s00381-021-05374-7. Epub 2021 Oct 1.

Abstract

Introduction: Central nervous system xanthogranulomas are uncommon clinical entities, and symptomatic bilateral choroid plexus xanthogranulomas are rare.

Case presentation: We present the case of a 15-year-old male patient with bilateral choroid plexus xanthogranulomas with symptoms of increased intracranial pressure. Gross total resection of the tumor in the left lateral ventricle was performed. The patient improved, and asymptomatic right-sided tumor was monitored at follow-up.

Conclusion: The main treatment objective in these tumors is gross total resection. Asymptomatic tumors can be followed without intervention. However, surgery should be performed for symptomatic tumors that cause hydrocephalus or symptoms of increased intracranial pressure.

Keywords: Choroid plexus; Intraventricular tumor; Pediatric; Xanthogranuloma.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Child
  • Choroid Plexus / diagnostic imaging
  • Choroid Plexus / pathology
  • Choroid Plexus / surgery
  • Choroid Plexus Neoplasms* / diagnostic imaging
  • Choroid Plexus Neoplasms* / pathology
  • Choroid Plexus Neoplasms* / surgery
  • Granuloma / diagnostic imaging
  • Granuloma / pathology
  • Granuloma / surgery
  • Humans
  • Hydrocephalus* / diagnostic imaging
  • Hydrocephalus* / etiology
  • Hydrocephalus* / surgery
  • Intracranial Hypertension* / pathology
  • Lateral Ventricles / pathology
  • Male
  • Xanthomatosis* / complications
  • Xanthomatosis* / diagnostic imaging
  • Xanthomatosis* / surgery