Choroid Plexus Papilloma Presenting With Cerebrospinal Fluid Rhinorrhea and Otorrhea Case Report

• Published in: Neurologia medico-chirurgica Vol. 50; no. 10; pp. 930 - 933
• Main Authors: KINOSHITA, Yusuke, WASITA, Brian, AKATSUKA, Keiichi, KAMBE, Atsushi, KUROSAKI, Masamichi, WATANABE, Takashi
• Format: Journal Article
• Language: English
• Published: Japan The Japan Neurosurgical Society 2010
• Subjects: cerebellomedullary cistern; Cerebrospinal Fluid Otorrhea - etiology; Cerebrospinal Fluid Otorrhea - physiopathology; cerebrospinal fluid rhinorrhea; Cerebrospinal Fluid Rhinorrhea - etiology; Cerebrospinal Fluid Rhinorrhea - physiopathology; choroid plexus papilloma; Female; Humans; Middle Aged; Papilloma, Choroid Plexus - complications; Papilloma, Choroid Plexus - diagnostic imaging; Papilloma, Choroid Plexus - pathology; Radiography; Subarachnoid Space - diagnostic imaging; Subarachnoid Space - pathology; Subarachnoid Space - physiopathology
• ISSN: 0470-8105; 1349-8029
• DOI: 10.2176/nmc.50.930

A 52-year-old woman presented with right rhinorrhea and right otorrhea manifesting as aural fullness for 2 years caused by a choroid plexus papilloma in the right cerebellomedullary cistern. Computed tomography and magnetic resonance imaging revealed a well defined lobulated mass at the foramen of Luschka, which extended towards the right cerebellomedullary cistern with slight dilation of the ventricular systems. The tumor was totally resected via a right lateral suboccipital approach. Histological examination revealed a choroid plexus papilloma. Postoperative course was uneventful, just after the operation rhinorrhea ceased completely, and hearing of the right ear dramatically improved. Choroid plexus papillomas rarely cause cerebrospinal fluid (CSF) rhinorrhea. Total removal of the tumor resulted in the cessation of CSF leaks.