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Diffuse choroid plexus hyperplasia: an under-diagnosed cause of hydrocephalus in children?

Abd. Aziz, Azian and Coleman, Lee and Morokoff, Andrew and Maixner, Wirginia (2005) Diffuse choroid plexus hyperplasia: an under-diagnosed cause of hydrocephalus in children? Pediatric Radiology, 35 (8). pp. 815-818. ISSN 0301-0449

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Abstract

Hydrocephalus is a common neurological disorder in children and the result of a variety of causes. However, with the advancement of imaging modalities, particularly MRI, previously reported rarer causes of hydrocephalus in children are now being more readily appreciated. We report an 11-year-old boy with diffuse villous hyperplasia of the choroid plexus. He had a ventriculo-peritoneal (VP) shunt in-situ and a prior diagnosis from infancy of congenital aqueduct stenosis as the cause of his hydrocephalus. His current presentation was with further shunt dysfunction. CT and MRI demonstrated enlarged choroid plexuses but did not confirm aqueduct stenosis. CSF overproduction was demonstrated from the externalized ventricular drain. The enlarged choroid plexuses were surgically resected and histology confirmed choroid plexus hyperplasia. Identification of choroid plexus hyperplasia is important since the neurosurgical management of hydrocephalus is not VP shunt insertion, but resection of the hyperplastic choroid plexus.

Item Type: Article (Journal)
Additional Information: 5267/5164
Uncontrolled Keywords: hydrocephalus; choroid plexus hyperplasia; MRI; child
Subjects: R Medicine > RJ Pediatrics > RJ101 Child Heatlh. Child health services. Preventive health services for children
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Radiology
Depositing User: Prof. Dr. Azian Abd. Aziz
Date Deposited: 16 Apr 2013 10:01
Last Modified: 27 Apr 2013 16:25
URI: http://irep.iium.edu.my/id/eprint/5164

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