J Korean Neurosurg Soc.  2007 Dec;42(6):475-477. 10.3340/jkns.2007.42.6.475.

Spinal Drop Metastasis from a Posterior Fossa Choroid Plexus Papilloma

• Ahn SS
• Cho YD

• KMID: 2189341
• DOI: http://doi.org/10.3340/jkns.2007.42.6.475

Abstract

Choroid plexus papillomas (CPPs) are typically considered as benign tumors, with a favorable long-term prognosis. Drop metastasis of CPP into the spinal subarachnoid space is rare. We report a 42-year-old woman who presented with headache and back pain 6 years after removal of a posterior fossa CPP. Magnetic resonance imaging revealed mass lesions in the lumbosacral subarachnoid space and recurrent intracranial tumor. The lesions were resected and histologically diagnosed was CPP. We consider that CPP can spread via cerebrospinal fluid pathways and cause spinal drop metastasis. Therefore, it is necessary to evaluate the whole spinal axis and to perform periodic follow-up examinations in patients with CPP.

Keyword

Choroid plexus papilloma; Posterior fossa; Spinal; Metastasis; Cerebrospinal fluid

MeSH Terms

Adult
Axis, Cervical Vertebra
Back Pain
Cerebrospinal Fluid
Choroid Plexus*
Choroid*
Female
Headache
Humans
Magnetic Resonance Imaging
Neoplasm Metastasis*
Papilloma, Choroid Plexus*
Prognosis
Subarachnoid Space