Microscopic and endoscopic “chopstick” technique removal of choroid plexus papilloma in the third ventricle of an infant: a case report with systematic review of literature

Abstract

BackgroundChoroid plexus papilloma (CPP) is rare and even rarer in infants and young children, and it usually occurs in the ventricles. Due to the physical peculiarities of infants, tumor removal by microscopic or endoscopic surgery alone is difficult.Case PresentationA 3-month-old patient was found to have an abnormally enlarged head circumference for 7 days. Cranial magnetic resonance imaging (MRI) examination revealed a lesion in the third ventricle. The patient underwent combined microscopic and endoscopic “chopstick” technique to remove the tumor. He recovered well after the surgery. Postoperative pathological examination revealed CPP. Postoperative MRI suggested total resection of the tumor. Follow-up for 1 month showed no recurrence or distant metastasis.ConclusionsCombined microscopic and endoscopic “chopstick” technique may be a suitable approach to remove tumors in infant ventricles.

Contact neuro-endoscopy-assisted cerebral hematoma evacuation under direct vision

“…However, these methods are limited in their ability to provide real-time observation of the puncture needle head's interaction with brain tissue and eliminate the need for suction confirmation, thus preventing the achievement of direct visual puncture. During the hematoma removal phase, certain scholars endeavored to incorporate a lightweight and portable endoscope ( 16 ) along with the utilization of the “chopstick technique” ( 17 ) to enhance the flexibility and convenience of the operation within the working channel.…”

Diagnosis of choroid plexus papilloma: Current perspectives and future directions

“…Supratentorial CPPs (in the third and lateral ventricles) are more likely to be observed in children, whereas infratentorial CPPs (in the fourth ventricle) are observed in all age groups. 6 , 7 Choroid plexus tumors commonly manifest symptoms owing to cerebrospinal fluid (CSF) pathways obstruction, possibly through CSF secretion by tumor cells, leading to fluid accumulation and subsequent development of hydrocephalus. Additionally, the physical presence of the tumor may exert pressure on the surrounding structures, resulting in varying symptoms according to its location.…”