Hydrocephalus Due to Diffuse Villous Hyperplasia of the Choroid Plexus -Case Report-

被引:16
作者
Anei, Ryogo [1 ]
Hayashi, Yoshimitsu [1 ]
Hiroshima, Satoru [1 ]
Mitsui, Nobuyuki [1 ]
Orimoto, Ryosuke [1 ]
Uemori, Genki [1 ]
Saito, Masato [1 ]
Sato, Masao [1 ]
Wada, Hajime [1 ]
Hododuka, Akira [1 ]
Kamada, Kyousuke [1 ]
机构
[1] Asahikawa Med Coll, Dept Neurosurg, Asahikawa, Hokkaido 0788510, Japan
关键词
choroid plexus; hyperplasia; hydrocephalus; cerebrospinal fluid overproduction; ventriculoatrial shunt; SURGICAL-MANAGEMENT; LATERAL VENTRICLES; HYPERTROPHY; PAPILLOMA; COAGULATION; CHILDREN; PATIENT; INDEX;
D O I
10.2176/nmc.51.437
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
An 8-month-old female presented with hydrocephalus caused by cerebrospinal fluid (CSF) overproduction due to bilateral choroid plexus enlargement, which was clinically diagnosed as diffuse villous hyperplasia of the choroid plexus, but differentiation from bilateral choroid plexus papilloma was difficult. She initially underwent ventriculoperitoneal shunt surgery, but developed marked retention of ascites. Therefore, the peritoneal end of the shunt was removed for external drainage, but excessive CSF (1,500 ml/day) was collected. Computed tomography and magnetic resonance imaging revealed marked symmetric enhancement of the choroid plexuses in the bilateral lateral ventricles. Thallium-201 chloride single-photon emission computed tomography showed pronounced uptake on both early and delayed images, and good washout. CSF examination revealed no abnormalities such as atypical cells, and a ventriculoatrial shunt was inserted, achieving good control of the hydrocephalus.
引用
收藏
页码:437 / 441
页数:5
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