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  • Giant Choroid Plexus Papilloma Resection Utilizing a Transcollation System

    Final Number:

    Karam Paul Asmaro MD, MS; Jacob Pawloski; Jesse Skoch MD

    Study Design:

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2018 Annual Meeting

    Introduction: Large vascular brain tumors pose an exceptional challenge in young children. Choroid plexus papilloma is an example of a rare, often large and especially vascular neuroepithelial tumor that most commonly arises in children under five years old. Although patients may be cured by total resection, this tumor poses significant surgical risks and challenges related to intraoperative hemostasis.

    Methods: A 3-year-old girl presented following a fall and was found to have a giant choroid plexus papilloma growing from the right lateral ventricle.

    Results: A transcollation device was used to reduce blood loss intraoperatively. Gross total resection was achieved with approximately 300 mL of blood loss.

    Conclusions: Transcollation devices appear to be an effective and safe addition to the armamentarium of neurosurgical hemostatic options in intracranial tumor resection in which there is a high risk of intraoperative hemorrhage.

    Patient Care: Improvement, enhancement, and providing alternatives to existing surgical techniques

    Learning Objectives: Novel use of existing technology in cranial surgery to minimize complications and increase patient safety.


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