Plexus choroid papilloma – case report

Plexus choride papilloma is benign tumor that grows slowly from epithelial cells in ventricular chorioid plexus. This disease can occur at any age but is most common in children before the age of 10 years and takes part in up to 3% of tumors. The incidence of this disease is relatively low 0.4-0.6% of all tumors. Occurs most commonly in lateral ventricles in children and in fourth ventricle in adults. Our case was a 2 (two) year old female child. Patient had no symptoms until the age of 18 months, later was found delay in development and increased size of head. A week before hospitalization she becomes anorexic, apathic and could not speak. On the day of admission the child was febrile, lethargic and anterior fontanel was tense and bulged. CT is done first and then MR, that showed signs of hyperproductive hydrocephalus. Right lateral ventricle was grater in size than the left ventricle, and contained a large lobular mass localized in trigonum. During the surgery it was found highly vascularised mass with transverse dimensions 62x60mm. Pedicle has been identified connected to the tumor and was removed from the tumor without difficulty. Histological diagnosis showed Plaxus choroid Papilloma. Child has gone in reconvalescence and head size went back to almost normal size