(1) Background: Surgical treatment of choroid plexus tumors is challenging, burdened by a notable risk of bleeding. Neoadjuvant chemotherapy and preoperative embolization have been attempted, with encouraging results; however, the consensus on these procedures is lacking. (2) Methods: We present a case of a 10-month-old girl who underwent preoperative embolization of a hemorrhagic choroid plexus carcinoma of the lateral ventricle via the anterior choroidal artery, followed by total resection. (3) Results: The endovascular procedure was successfully completed, despite the rectification of the anterior choroidal artery associated with the absence of flow proximal to the plexal point. Minimal bleeding was observed during resection and the patient remained neurologically intact. (4) Conclusions: The time from entrance to exit in the anterior choroidal artery should be monitored and regarded as a potential 'occlusion time' in this specific group of patients. Nevertheless, our case supports the feasibility and effectiveness of preoperative embolization of a choroid plexus carcinoma of the lateral ventricle via the anterior choroidal artery, without complications. Furthermore, we suggest the use of a fast-embolic agent, such as N-butyl cyanoacrylate glue, as the preferred agent for this specific pathology and patient population.
(1) Background: Surgical treatment of choroid plexus tumors is challenging, burdened by a notable risk of bleeding. Neoadjuvant chemotherapy and preoperative embolization have been attempted, with encouraging results; however, the consensus on these procedures is lacking. (2) Methods: We present a case of a 10-month-old girl who underwent preoperative embolization of a hemorrhagic choroid plexus carcinoma of the lateral ventricle via the anterior choroidal artery, followed by total resection. (3) Results: The endovascular procedure was successfully completed, despite the rectification of the anterior choroidal artery associated with the absence of flow proximal to the plexal point. Minimal bleeding was observed during resection and the patient remained neurologically intact. (4) Conclusions: The time from entrance to exit in the anterior choroidal artery should be monitored and regarded as a potential 'occlusion time' in this specific group of patients. Nevertheless, our case supports the feasibility and effectiveness of preoperative embolization of a choroid plexus carcinoma of the lateral ventricle via the anterior choroidal artery, without complications. Furthermore, we suggest the use of a fast-embolic agent, such as N-butyl cyanoacrylate glue, as the preferred agent for this specific pathology and patient population.
Authors: Christian Schneider; Ian Kamaly-Asl; Vijay Ramaswamy; Lucie Lafay-Cousin; Abhaya V Kulkarni; James T Rutka; Marc Remke; Daniel Coluccia; Uri Tabori; Cynthia Hawkins; Eric Bouffet; Michael D Taylor Journal: J Neurosurg Pediatr Date: 2015-05-01 Impact factor: 2.375
Authors: A W McEvoy; B N Harding; K P Phipps; D W Ellison; A J Elsmore; D Thompson; W Harkness; R D Hayward Journal: Pediatr Neurosurg Date: 2000-04 Impact factor: 1.162
Authors: Ramsey Ashour; Mohammad Ali Aziz-Sultan; Maryam Soltanolkotabi; Samantha E Schoeneman; Tord D Alden; Michael C Hurley; Arthur J Dipatri; Tadanori Tomita; Mohamed Samy Elhammady; Ali Shaibani Journal: Neurosurgery Date: 2012-10 Impact factor: 4.654