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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886
EISSN: 0028-3886
Vol. 51, No. 3, 2003, pp. 379-382
Bioline Code: ni03123
Full paper language: English
Document type: Research Article
Document available free of charge

Neurology India, Vol. 51, No. 3, 2003, pp. 379-382

 en Choroid plexus papilloma of the posterior third ventricle during infancy & childhood: Report of two cases with management morbidities
Pawar SJ, Sharma RR, Mahapatra AK, Lad SD, Musa MM


We report two cases of posterior third ventricular choroid plexus papilloma, one in an 8-month-old infant and another in a two-year-old child. These cases presented with features of obstructive hydrocephalus. Both these patients underwent a ventriculo-peritoneal (VP) shunt surgery prior to the tumor excision. Following the VP shunt surgery both patients developed ascitis requiring exteriorization of the abdominal end of the shunt. There was a clear proof of CSF overproduction: 1400-1500 ml/ day in the eight-month-old infant and 900-1200 ml / day in the two-year-old child. In the former it was transient and could be treated with revision of the VP shunt whereas in the second case a ventriculo-arterial shunt had to be done. In the second case a staged reduction cranioplasty was also performed for an enormously enlarged head (head circumference-74 cm). Interesting clinical and radiological findings and useful management strategies are described.

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