Abstract
Introduction
Total surgical resection is the treatment of choice for choroid plexus tumors. However, the hypervascular nature of such lesions imposes challenges to the surgical treatment. Preoperative embolization for intracranial tumors has been widely used in an attempt to reduce blood loss, but rarely with choroid plexus tumors.
Case report
We describe the first case of preoperative embolization of choroid plexus papilloma with Onyx via the anterior choroidal artery. The procedure underwent without any complications and surgical treatment was possible with minimal blood loss.
Discussion
Embolization of choroid plexus tumors via anterior choroidal artery is potentially dangerous, but following a meticulous technique, it can be used as a safe and effective preoperative procedure.
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References
Ditz C, Nowak G, Koch C, Merz H, Tronnier V (2011) Atypical choroid plexus papilloma in a newborn: prenatal diagnosis, preoperative tumor embolization, and resection. J Neurol Surg A Cent Eur Neurosurg. doi:10.1055/s-0032-1313639
Do HM, Marx WF, Khanam H, Jensen ME (2001) Choroid plexus papilloma of the third ventricle: angiography, preoperative embolization, and histology. Neuroradiology 43:503–506
Dowd CF, Halbach VV, Barwell SL, Higashida RT, Hieshima GB (1991) Particulate embolization of the anterior choroidal artery in the treatment of cerebral arteriovenous malformations. AJNR Am J Neuroradiol 12:1055–1061
Hodes JE, Aymard A, Casasco A, Rufenacht D, Reizine D, Merland JJ (1991) Embolization of arteriovenous malformations of the temporal lobe via the anterior choroidal artery. AJNR Am J Neuroradiol 12:775–780
Kim DJ, Kim DI, Lee SK, Kim SY (2003) Homonymous hemianopia after embolization of an aneurysm-associated AVM supplied by the anterior choroidal artery. Yonsei Med J 44:1101–1105
Nagib MG, O’Fallon MT (2000) Lateral ventricle choroid plexus papilloma in childhood: management and complications. Surg Neurol 54:366–372
Otten ML, Riina HA, Gobin YP, Souweidane MM (2006) Preoperative embolization in the treatment of choroid plexus papilloma in an infant. J Neurosurg 104(6 Suppl):419–421
Oyama H, Noda S, Negoro M, Kinomoto T, Miyachi S, Kuwayama N, Kajita Y (1992) Giant meningioma fed by the anterior choroidal artery: successful removal following embolization. Neurol Med Chir 32:839–841
Pencalet P, Saint-Rose C, Lellouch-Tubiana A, Kalifa C, Brunelle F, Sgouros S, Meyer P, Cinalli G, Zerah M, Pierre-Kahn A, Renier D (1998) Papillomas and carcinomas of the choroid plexus in children. J Neurosurg 88:521–528
Rhoton AL (2002) The supratentorial arteries. Neurosurgery 51(Suppl 1):53–120
Trivelatto F, Nakiri GS, Manisor M, Riva R, Al-Khawaldeh M, Kessler I, Mounayer C (2011) Preoperative Onyx embolization of meningiomas fed by the ophthalmic artery: a case series. AJNR Am J Neuroradiol 32:1762–1766
Waldron JS, Sughrue ME, Hetts SW, Wilson SP, Mills SA, McDermott MW, Dowd CF, Parsa AT (2011) Embolization of skull base meningiomas and feeding vessels arising from the internal carotid circulation. Neurosurgery 62:162–169
Wind JJ, Bell RS, Bank WO, Myseros JS (2010) Treatment of third ventricular choroid plexus papilloma in an infant with embolization alone. J Neurosurg Pediatr 6:579–582
Wrede B, Liu P, Wolff JE (2007) Chemotherapy improves the survival of patients with choroid plexus carcinoma: meta-analysis of individual cases with choroid plexus tumors. J Neurooncol 85:345–351
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Trivelato, F.P., Manzato, L.B., Rezende, M.T. et al. Preoperative embolization of choroid plexus papilloma with Onyx via the anterior choroidal artery: technical note. Childs Nerv Syst 28, 1955–1958 (2012). https://doi.org/10.1007/s00381-012-1928-0
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DOI: https://doi.org/10.1007/s00381-012-1928-0