Vanishing diffuse leptomeningeal contrast enhancement in an infant with choroid plexus papilloma

• Published in: Acta neurochirurgica Vol. 161; no. 2; pp. 351 - 354
• Main Authors: Puerta Roldán, Patricia, Santa-María López, Vicente, Morales La Madrid, Andrés, Cruz, Ofelia, Muchart, Jordi, Thomas, Christian, Guillén Quesada, Antonio
• Format: Journal Article
• Language: English
• Published: Vienna Springer Vienna 01-02-2019; Springer Nature B.V
• Subjects: Brain cancer; Brain tumors; Case Report - Brain Tumors; Choroid plexus; Choroid Plexus - diagnostic imaging; Choroid Plexus - pathology; Diagnosis; Diagnosis, Differential; Female; Humans; Infant; Interventional Radiology; Lesions; Magnetic Resonance Imaging; Medicine; Medicine & Public Health; Meningeal Neoplasms - diagnostic imaging; Meninges; Meninges - diagnostic imaging; Meninges - pathology; Minimally Invasive Surgery; Neurology; Neuroradiology; Neurosurgery; NMR; Nuclear magnetic resonance; Papilloma; Papilloma, Choroid Plexus - diagnostic imaging; Papilloma, Choroid Plexus - pathology; Papilloma, Choroid Plexus - surgery; Surgical Orthopedics; Tumors; Brain tumor; Choroid plexus papilloma; Leptomeningeal enhancement; Pediatric
• ISSN: 0001-6268; 0942-0940
• DOI: 10.1007/s00701-018-03781-5

Choroid plexus tumors (CPT) can present in the baseline magnetic resonance imaging (MRI) with lesions compatible with leptomeningeal dissemination. Therapeutic strategy in this condition is controversial. We present a case of an infant with CPP and significant diffuse leptomeningeal contrast enhancement at diagnosis, which spontaneously resolved after removal of the primary tumor. In these challenging cases, several aspects, such as histopathological/molecular diagnosis and close radiological follow-up, should be taken into account to avoid unnecessary treatments.