Hosting 718 files, 2916 images, and 4 contributors.

 
Random Case

Non-accidental Trauma - Abdominal Manifestations
Joseph Junewick, MD FACR
over 4 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Choroid Plexus Carcinoma - Lateral Ventricle

Case Detail

Anatomy: Brain-Spine
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Neoplasia Malignant
Created: over 6 years ago
Updated: over 5 years ago
Tags: PEDS
Modality/Study Types: MR
Activities:
Adobe32 PDF Imagej32 ImageJA

History

4 month old female with macrocephaly.


Case Images


Diagnosis

Choroid Plexus Carcinoma

Findings

MR – Sagittal and axial pre and post gadolinium T1 images show a macrolobulated enhancing mass in the atrium of the right lateral ventricle and hydrocephalus.

Discussion

Choroid plexus tumors account for about 3% of all brain tumors and tend to occur early in infancy. Symptoms are usually related to hydrocephalus and increased intracranial pressure (related to overproduction of CSF, ventricular outflow obstruction and/or arachnoiditis from tumor hemorrhage) but fourth ventricular tumors may produce cerebellar signs. The lateral ventricle is by far the most common site followed by the fourth ventricle and the third ventricle. Choroid plexus papillomas and carcinomas are prone to leptomeningeal dissemination although carcinomas are more aggressive. Surgical excision is the primary mode of treatment.

Reference

Heideman RL, Freeman CR, Packer RJ, et al. Tumors of the Central Nervous System in Principles and Practice of Pediatric Oncology 2nd Ed. Lippincott (1993).



Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare