Angiographic Appearance of a Papilloma of the Choroid Plexus

Sears, Robert A.; Burnett, Stacy W.

doi:10.3171/jns.1961.18.6.0822

Cited by 20 publications

(4 citation statements)

References 3 publications

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“…3 suffered mental retardation and 2 were lost to follow-up. Sears and Burnett [28] reported a case in which angiography re vealed all of the signs which would have been needed for them to diag nose a choroid plexus papilloma, which indeed they did retrospectively. Specifically, they observed stretching of the posterior communicating ar tery, retrograde filling of the basilar artery, a stretched and enlarged an terior choroidal artery feeding a large area of tumor stain, a well visual ized posterior choroidal artery arising from the posterior cerebral artery in its usual manner (and also entering the tumor stain), and evidence of a large mass occupying the right temporal lobe which they concluded to be the temporal horn of the right lateral ventricle.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and Surgical Treatment of Choroid Plexus Papillomas

Raimondi¹,

Gutiérrez²

1975

Pediatr Neurosurg

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This is a report of 22 cases of papillomas of the choroid plexus diagnosed and managed personally by the author. The angiographic diagnosis and extension of choroid plexus papillomas are described, as is the surgical technique for removing these tumors from the lateral, third, and fourth ventricles. Specific attention is given to using the angiogram as the study of choice upon which surgical technique is planned. The diagnosis of choroid plexus papilloma of the lateral ventricle is made by observing the presence of a hypertrophied anterior choroidal artery, a ‘double tumor’ sign with one tumor at the trigone and the other within the temporal or frontal horn, tumor stain at the trigone, and asymmetrical hydrocephalus, generally, with a shift away from the side of the larger ventricle. Posterior fossa papillomas cause symmetrical hydrocephalus and generally have tumor stain located within the mid-line, with the major feeding coming from either the superior cerebellar or the posteroinferior cerebellar arteries. Surgical removal of the tumor should entail an ‘en bloc’ resection following occlusion of the feeding and draining vessels. The tumor should be removed directly when it is in the lateral ventricle and following ventriculocerebral spinal fluid shunting when it is in the posterior fossa.

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Section: Introductionmentioning

confidence: 99%

Diagnosis and Surgical Treatment of Choroid Plexus Papillomas

Raimondi¹,

Gutiérrez²

1975

Pediatr Neurosurg

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“…After the first descriptions of Guidetti and Alvisi (1952, 1954), Migliavacca (1953, Araki (1954), Wall (1954), Cecotto andFrugoni (1955), Falk (1956), and Gasse [ and Davies (1961) regarding the anterior choroidal artery changes in meningiomas of the lateral ventricles, several authors pointed out that these changes are not specific, since they are found in other intraventrieular conditions arising out of the plexus, such as papillomas and ependymomas (Ernsting 1955, Laurence et al 1961, Sears" and Burnett 1961, Wilkins and Rutledge 1961, Hams~on et at. 1963, De la Torte et al 1963, Degandsheer 1965, or in temporal lobe gliomas developing in the sphenoidal horn (Falk 1956, Sjdgren 1956), or even in deepseated non-intraventricular expanding lesions, such as turnout of the basal nuclei of the brain (Falk 1956, Taverns and Woods 1965, Decker 1960.…”

Section: Discussionmentioning

confidence: 99%

“…Papillomas occur most frequently in infancy and, when supratentorial, at the trigone (Davis and Cushing 1925, Van Wagenen 1930, Posey 1942, Sandison 1956, Abbot et al 1957, Pec/~er et al 1958, Matson and Crofton 1960, Bohm and Strang 1961, De la Torte et al 1963. At pneumography this tumour is charaeterised by a filling defect at the level of the trigone, which may have lobulated contours; it has been shown angiographieally that the anterior ehoroidal artery supplies the turnout (Ernating 1955, Laurence et al 1961, Sears and Burnett 1961, Wilkins and Rutledge 1961, Hammon et al 1963). These radiological features are common to intraventricular meningioma, from which it is difficult to differentiate.…”

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confidence: 99%

Radiological features of tumours of the lateral ventricles

Bernasconi

Cabrini

1967

Acta neurochir

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With 11 FiguresAmeli (1952) first showed the importance of vertebral angiogr~phy for visuMising the vaseul~risation of ~n intr~ventricular meningiom~ by the posterior ehoroidM arteries.The usefulness of e~rotid ~ngiography for diagnosing intraventricular meningiomas was pointed out by Guidetti andAlvisi (1952, 1954), who drew attention to the inerease in calibre of the anterior choroid~l artery which supplied the tumour. In the years that followed Migliavacca (1953, 1955), Aral~i (1954), Wall (1954), Cecotto andFrugoni (1955) and FaZk (1956) adduced ~ large body of evidence to support the diagnostic value of this angiographic pattern. Falk (1956) stated that thickening and lengthening of the anterior choroidM artery may also be found in gliomas growing partly in the ventricle. In the same year SjSgren (1956) described an ~nterior choroid~l artery contributing to the blood supply of a temporM glioma developing mainly in the ventricle. in this case the step-like deformity of the anterior part of the artery, frequently found in intraventricular meningiomas, was also visible. Later on, Lade~heim (1963)--of the school of Olivecrona--contributed an important case-series. The literature that followed this author's monograph was collected by Delandsheer (1965) in a congress report, in which he recognised the importance of changes in the ~nterior choroidal artery, but pointed out that it w~s impossible to differentiate between a meningioma and ~ p~pilloma of the trigone, and he went on to emphasise the importance of vertebral angiogr~phy in cases in which carotid angiography reveals only changes indicating a temporo-parietal space-occupying lesion. Of the most recent Italian contributions we would mention: Signore~li (1960), Smaltino et al. (1961), Davini and Baratta (1963), Moretlo and P~uchino (1965).Another feature, less characteristic but still very important for the diagnosis of intraventricular meningioma and one to which several authors (Ladenheim 1963, De~andsheer 1965 have drawn attention, is the downward displacement of the vein of Galen and of the internal

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“…Choroid plexus papillomas are rare, comprising 0.5-0.6% of all intracranial tumors.24) These tumors are more frequent in children than adults, and they account for 3.9% of all intracranial tumors in children under the age of 12 years.') Although the radiological diagnosis of choroid plexus papillomas in the lateral and fourth ventricles has been discussed by several authors,, 12,20) the radio logical manifestations of third ventricle pap illomas have rarely been documented in the literature.…”

Section: Introductionmentioning

confidence: 99%

Radiological Features of Choroid Plexus Papillomas in Childhood

Matsushima

Numaguchi

Abe

et al. 1980

Neurol. Med. Chir.(Tokyo)

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Four cases of choroid plexus papilloma in children are presented with special refer ences to the radiological findings. Two occurred in the third ventricle and one each in the lateral and the fourth ventricles. There are few reports in the literature about third ventricle papillomas. Angiography is one of the important radiological means for demonstrating them when they cause dilatation of the choroidal arteries, tumor stains, and hydrocephalus. Difficulties encountered in differentiating choroid plexus papil lomas from other ventricular tumors are discussed.

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Angiographic Appearance of a Papilloma of the Choroid Plexus

Cited by 20 publications

References 3 publications

Diagnosis and Surgical Treatment of Choroid Plexus Papillomas

Diagnosis and Surgical Treatment of Choroid Plexus Papillomas

Radiological features of tumours of the lateral ventricles

Radiological Features of Choroid Plexus Papillomas in Childhood

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