Giant Choroid Plexus Papilloma Resection Utilizing a Transcollation System.
Oper Neurosurg (Hagerstown)
; 18(1): 47-51, 2020 01 01.
Article
em En
| MEDLINE
| ID: mdl-31065711
ABSTRACT
BACKGROUND:
Large vascular brain tumors pose an exceptional challenge in young children. Choroid plexus papilloma (CPP) is an example of a rare, often large and especially vascular neuroepithelial tumor that most commonly arises in children under 5 yr old. Although patients may be cured by total resection, this tumor poses significant surgical risks and challenges related to intraoperative hemostasis.OBJECTIVE:
To describe our experience using a transcollation system during brain tumor surgery in a child to achieve hemostasis and minimize blood loss while preserving normal brain tissue.METHODS:
A 3-yr-old girl presented following a fall and was found to have a giant CPP growing from the right lateral ventricle. Given the vascularity of the tumor and the low intravascular reserve in a small child, a transcollation device was used to reduce blood loss intraoperatively.RESULTS:
Gross total resection was achieved with approximately 300 mL of blood loss without complications. The patient did well postoperatively. Imaging performed at 3 mo after resection revealed return of normal brain architecture.CONCLUSION:
Transcollation devices appear to be an effective and safe addition to the armamentarium of neurosurgical hemostatic options in intracranial tumor resection in which there is a high risk of intraoperative hemorrhage.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Perda Sanguínea Cirúrgica
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Procedimentos Neurocirúrgicos
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Papiloma do Plexo Corióideo
Limite:
Child, preschool
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Female
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Humans
Idioma:
En
Revista:
Oper Neurosurg (Hagerstown)
Ano de publicação:
2020
Tipo de documento:
Article