Work

Burr hole monoportal endoscopic resection of a large choroid plexus cyst causing obstructive hydrocephalus: diagnosis, management and literature review

Year: 2025

Type: article

Abstract: INTRODUCTION: Choroid plexus cysts, the most common neuroepithelial cystic lesions, are rarely symptomatic and often discovered incidentally. MATERIALS AND METHODS: We report our experience of managing a 22-year-old man who presented with a short history of severe, progressive headache secondary to hydrocephalus as a result of obstruction at the level of the foramina of Monro. RESULTS: High resolution MRI sequences demonstrated a large cystic lesion filling and expanding the foramina of Monro and extending into the third ventricle. Endoscopic gross total resection of the cyst and a septum pellucidotomy were performed through a monoportal approach with resolution of the hydrocephalus and the headaches. CONCLUSION: Although symptomatic choroid plexus cysts are rare, they should be considered in the differential diagnosis of intraventricular lesions causing obstructive hydrocephalus and appropriate imaging performed. Endoscopic resection is a safe and definitive intervention, which allows complete excision via a minimally invasive approach.

Source: Child s Nervous System

DOI: 10.1007/s00381-025-07072-0

Authors: Nida Kalyal, Anca-Mihaela Vasilica, Kantharuby Tambirajoo, Andrew King, Naomi Sibtain, Bassel Zebian

Institutions: King's College Hospital, University College London, King's College London

Language: English

Topic: Cerebrospinal fluid and hydrocephalus

Subfield: Cellular and Molecular Neuroscience

Field: Neuroscience

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,790