Turkish Neurosurgery 2009 , Vol 19 , Num 3
Choroid Plexus Papillomas in two Siblings: Case Report
Önder OKAY1, Ergun DAĞLIOĞLU2, Cengiz YAKICIER3, Deniz ÜREN4, Ali DALGIÇ5, Fikret ERGÜNGÖR6
1,2,5,6Ankara Numune Education and Research Hospital, Neurosurgery Department, Ankara, Turkey
3Bilkent University, Department of Molecular Biology and Genetics, Ankara, Turkey
4Bilkent University, Biotechnology Research and Development Center, Bilkent, Ankara, Turkey
Choroid plexus papilloma (CPP) is a rare, benign epithelial brain tumor of the nervous system seen particularly in infants. Familial cases are extremely uncommon. Some other form of malignant tumors was noted in the relatives of patients with CPPs, and some genetic defects regarding this coincidence were reported in the literature. These neoplasms are occasionally bilateral and hydrocephalus is an associated sign in most of the cases. We report three lateral ventricle CPPs in two siblings, at the age of 7 month and 2 years respectively. All tumors were resected with parietotemporal craniotomy and a superior temporal sulcus approach to the lateral ventricle. To avoid a concomitant need of ventriculoperitoneal shunt insertion, external ventricular drainage was inserted for a week in the postoperative period relieving symptoms of hydrocephalus. Search for a hereditary defect in the p53 gene of the second infant (7 months old) revealed no mutation. Postoperative courses were uneventful and the patients were followed for three years without any recurrence. Bilateral CPPS are rare and unusual in two siblings. A genetic predisposition such as the p53 mutation should be investigated in bilateral CPPs in particular. Keywords : Choroid plexus, Papilloma, Familiar, p53-Mutation, Lateral ventricle, Hydrocephalus
Corresponding author : Ergün Dağlıoğlu, edaglioglu@gmail.com