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Acta clinica Croatica, Vol. 54. No. 2., 2015.

Review article

Dysphonia As an Uncommon Presentation of Pontocerebellar Choroid Plexus Papilloma

Krešimir Rotim ; Clinical Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Tomislav Sajko ; Clinical Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Marina Zmajević ; Clinical Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ilijana Šumonja orcid id orcid.org/0000-0003-3145-9335 ; Clinical Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Marko Grgić orcid id orcid.org/0000-0003-4196-5303 ; Clinical Department of ENT, Head and Neck Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

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Abstract

A case is presented of a patient with dysphonia, hearing loss and ataxia due to vestibulocochlear and vagal nerve compression by choroid plexus papilloma in the cerebellopontine angle. Choroid plexus papillomas are rare tumors usually arising in the lateral and fourth ventricle, and rarely found in the cerebellopontine angle, making the neuroimaging characteristics usually not sufficient for diagnosis. Patients usually present with headache and hydrocephalus but tumors in the cerebellopontine angle can cause vestibulocochlear dysfunction and cerebellar symptoms. Dysphonia along with hearing loss was a dominant symptom in the case presented. After complete surgical removal of the tumor, deterioration of dysphonia was noticed; it could be explained as peripheral vagal nerve neuropathy due to tumor compression and intraoperative manipulation. In this case report, we describe dysphonia as an uncommon presentation of a rare posterior fossa tumor. To our knowledge, a case of choroid plexus papilloma presenting with dysphonia has not been described before. Our case extends the differential diagnosis of dysphonia from the otorhinolaryngological to the neurosurgical field.

Keywords

Papilloma, choroid plexus – surgery; Dysphonia; Cerebellopontine angle; Case reports

Hrčak ID:

145598

URI

https://hrcak.srce.hr/145598

Publication date:

1.7.2015.

Article data in other languages: croatian

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