Xantogranuloma do plexo coróideo: relato de caso

Lynch, José Carlos; Moraes, Gloria Patelo de; Duarte, Francisco

doi:10.1590/S0004-282X1988000200011

Resumos

Os autores relatam o caso de um paciente de 30 anos que apresentou quadro de hipertensão intracraniana devido a xantogranuloma do ventrículo lateral. A TCC revelou massa calcificada. A massa foi parcialmente ressecada pela via transcalosa. A patogenia do xantogranuloma do plexo coróideo é discutida.

We report an unusual case of a 30-year-old man who presented blindness and raised intracranial pressure secondary to a huge lateral ventricle xanthogranuloma. Computed tomographic scanning showed a highly calcified hyperdense mass that did not enhance after contrast administration. The mass was subtotally resected via transcallosal approach. The pathogenesis of the choroid plexus xanthogranuloma is discussed.

José Carlos Lynch^I; Gloria Patelo de Moraes^II; Francisco Duarte^III

^IChefe do Serviço de Neurocirurgia - Serviço de Neurocirurgia do Hospital dos Servidores do Estado e do Serviço de Anatomia Patológica do Hospital Cardoso Fontes

^IIChefe do Serviço de Anatomia Patológica - Serviço de Neurocirurgia do Hospital dos Servidores do Estado e do Serviço de Anatomia Patológica do Hospital Cardoso Fontes

^IIIPatologista - Serviço de Neurocirurgia do Hospital dos Servidores do Estado e do Serviço de Anatomia Patológica do Hospital Cardoso Fontes

RESUMO

Os autores relatam o caso de um paciente de 30 anos que apresentou quadro de hipertensão intracraniana devido a xantogranuloma do ventrículo lateral. A TCC revelou massa calcificada. A massa foi parcialmente ressecada pela via transcalosa. A patogenia do xantogranuloma do plexo coróideo é discutida.

SUMMARY

We report an unusual case of a 30-year-old man who presented blindness and raised intracranial pressure secondary to a huge lateral ventricle xanthogranuloma. Computed tomographic scanning showed a highly calcified hyperdense mass that did not enhance after contrast administration. The mass was subtotally resected via transcallosal approach. The pathogenesis of the choroid plexus xanthogranuloma is discussed.

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Trabalho do Serviço de Neurocirurgia do Hospital dos Servidores do Estado e do Serviço de Anatomia Patológica do Hospital Cardoso Fontes.

Centro Profissional Jardim Botânico - Rua Jardim Botânico 700/318 - 22461 Rio de Janeiro RJ - Brasil.

1. Antunes JL, Kvam D, Ganti SR, Louis KM, Goodman J - Mixed colloid cyst-xanthogranulomas of the third ventricle, Surg Neurol 16: 256, 1981.
2. Akazawa S, Yoshihiko I, Toyama K, Miyake S, Takamori M, Nagataki S - Familial type Ila hyperlipoproteinemia associated with a huge intracranial xanthoma. Arch Neurol 41: 793, 1984.
3. Feijin I - Xanthomatosis of the nervous system. J Neuropath Exp Neurol 15: 400, 1956.
4. Godersky JC, Rockswold G, Larson DA - Xanthogranuloma of the third ventricle producing hydrocephalus. Neurosurgery 7: 68, 1980.
5. Hu KH, Friede RL - Cholesterol content of xanthogranulomas of the choroid plexus. J Neuropathol Exp Neurol 26: 507, 1967.
6. Jaer O, Loken AC, Nesbakken R - Hydrocephalus due to xanthogranuloma: case report. J Neurosurg 39: 659, 1973.
7. Mongiardi JR, Rappaport H, Ransohoff J - Systemic Weber-Christian disease presenting as an intracranial mass lesion. J Neurosurg 52: 134, 1980.
8. Morello A, Campesi G, Bettinazzi N, Albeggiani A - Neoplastiform xanthomatous granulomas of choroid plexus in a child affected by Hand-Schuller-Cristian disease: case report. J Neurosurg 26: 536, 1967.
9. Netsky MG, Shuanshoti S - The choroid plexus in health and disease. John Wright and Sons, Bristol, 1975, pg 231.
10. Pear BL - Xanthogranuloma of the choroid plexus. Am J Radiol 143: 401, 1984.
11. Pick P, Jean F, Horoupian D, Factor S - Xanthogranuloma of the dura in sistemic Weber-Christian Disease. Neurology 33: 1067, 1983.
12. Rees A, Lee G, Stocks J, Vella MA, Katz JD, Galton DJ - Raised intracranial pressure due to large intracranial xanthoma. Br Med J 288: 1722, 1984.
13. Rosner S - Xanthoma of the choroid plexus in a child. J Nerv Ment Dis 125: 339, 1957.
14. Rush JL, Kusske JA, Porter RW, Pribram HW - Xanthogranulomas of the third ventricle. Neurosurgery 4: 329, 1979.
15. Shuanshoti S, Netsky MG - Xanthogranuloma of choroid plexus. Am J Pathol 48: 503, 1966.
16. Shuanshoti S, Phonprasert C, Suwanwela N, Netsky MG - Combined neuroepithelial (colloid) cyst and xanthogranuloma (xanthoma) in the third ventricle. Neurology 25: 547, 1975.
17. Szper I, Shizvo OI, Leestma J, Kim KS, Wetzel NF - Xanthogranuloma of the third ventricle. J Neurosurg 51: 565, 1979.
18. Terral H, Kobayashi S, Teraoka A, Okeda R - Xanthogranulomas of the choroid plexus in a neuro-epileptic child. J Neurosurg 48: 649, 1978.
19. Vaquero J, Leunda G, Cabezudo JM, Juan M, Herrero J, Bravo G - Posterior fossa xanthogranuloma: case report. J Neurosurg 51: 718, 1979.
20. Weinstein PR - Xanthogranulomas of the third ventricle. Neurosurgery 4: 329, 1979. 21 Wolf A, Cowen D, Graham S - Xanthomas of the choroid plexus in man. J Neuropathol Exp Neurol 9: 286. 1950.

Xantogranuloma do plexo coróideo: relato de caso

Xanthogranuloma of choroid plexus: case report

Datas de Publicação

Publicação nesta coleção
21 Jun 2011
Data do Fascículo
Jun 1988

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Antunes JL, Kvam D, Ganti SR, Louis KM, Goodman J - Mixed colloid cyst-xanthogranulomas of the third ventricle, Surg Neurol 16: 256, 1981.

[2] 2. Akazawa S, Yoshihiko I, Toyama K, Miyake S, Takamori M, Nagataki S - Familial type Ila hyperlipoproteinemia associated with a huge intracranial xanthoma. Arch Neurol 41: 793, 1984.

[3] 3. Feijin I - Xanthomatosis of the nervous system. J Neuropath Exp Neurol 15: 400, 1956.

[4] 4. Godersky JC, Rockswold G, Larson DA - Xanthogranuloma of the third ventricle producing hydrocephalus. Neurosurgery 7: 68, 1980.

[5] 5. Hu KH, Friede RL - Cholesterol content of xanthogranulomas of the choroid plexus. J Neuropathol Exp Neurol 26: 507, 1967.

[6] 6. Jaer O, Loken AC, Nesbakken R - Hydrocephalus due to xanthogranuloma: case report. J Neurosurg 39: 659, 1973.

[7] 7. Mongiardi JR, Rappaport H, Ransohoff J - Systemic Weber-Christian disease presenting as an intracranial mass lesion. J Neurosurg 52: 134, 1980.

[8] 8. Morello A, Campesi G, Bettinazzi N, Albeggiani A - Neoplastiform xanthomatous granulomas of choroid plexus in a child affected by Hand-Schuller-Cristian disease: case report. J Neurosurg 26: 536, 1967.

[9] 9. Netsky MG, Shuanshoti S - The choroid plexus in health and disease. John Wright and Sons, Bristol, 1975, pg 231.

[10] 10. Pear BL - Xanthogranuloma of the choroid plexus. Am J Radiol 143: 401, 1984.

[11] 11. Pick P, Jean F, Horoupian D, Factor S - Xanthogranuloma of the dura in sistemic Weber-Christian Disease. Neurology 33: 1067, 1983.

[12] 12. Rees A, Lee G, Stocks J, Vella MA, Katz JD, Galton DJ - Raised intracranial pressure due to large intracranial xanthoma. Br Med J 288: 1722, 1984.

[13] 13. Rosner S - Xanthoma of the choroid plexus in a child. J Nerv Ment Dis 125: 339, 1957.

[14] 14. Rush JL, Kusske JA, Porter RW, Pribram HW - Xanthogranulomas of the third ventricle. Neurosurgery 4: 329, 1979.

[15] 15. Shuanshoti S, Netsky MG - Xanthogranuloma of choroid plexus. Am J Pathol 48: 503, 1966.

[16] 16. Shuanshoti S, Phonprasert C, Suwanwela N, Netsky MG - Combined neuroepithelial (colloid) cyst and xanthogranuloma (xanthoma) in the third ventricle. Neurology 25: 547, 1975.

[17] 17. Szper I, Shizvo OI, Leestma J, Kim KS, Wetzel NF - Xanthogranuloma of the third ventricle. J Neurosurg 51: 565, 1979.

[18] 18. Terral H, Kobayashi S, Teraoka A, Okeda R - Xanthogranulomas of the choroid plexus in a neuro-epileptic child. J Neurosurg 48: 649, 1978.

[19] 19. Vaquero J, Leunda G, Cabezudo JM, Juan M, Herrero J, Bravo G - Posterior fossa xanthogranuloma: case report. J Neurosurg 51: 718, 1979.

[20] 20. Weinstein PR - Xanthogranulomas of the third ventricle. Neurosurgery 4: 329, 1979. 21 Wolf A, Cowen D, Graham S - Xanthomas of the choroid plexus in man. J Neuropathol Exp Neurol 9: 286. 1950.