Choroid plexitis
Citation, DOI, disclosures and article data
At the time the article was created Bruno Di Muzio had no recorded disclosures.
View Bruno Di Muzio's current disclosuresAt the time the article was last revised Frank Gaillard had no financial relationships to ineligible companies to disclose.
View Frank Gaillard's current disclosuresChoroid plexitis is a general term referring to an inflammatory process affecting the choroid plexus; it is usually due to an infectious process. It is rarely seen as an isolated process and is commonly found in association with encephalitis, meningitis, or ventriculitis 1.
The choroid plexus can also be a place of noninfectious inflammatory disorders, such as granulomatosis with polyangiitis, sarcoidosis, xanthogranulomas, and rheumatoid nodules 2,3.
Pathology
The choroid plexus lies at the interface between the cerebrospinal fluid and the systemic circulation, its capillaries have a fenestrated epithelium that serves as a way through which infectious organisms may gain access to the CNS 1,2.
Radiographic features
CT and MRI
Often, the imaging manifestations are dominated by other locations of infection and/or inflammation. Involvement of the choroid plexus leads to 1-4:
enlargement (symmetric or asymmetric)
increased or asymmetric enhancement
adjacent subependymal edema
adjacent ependymal enhancement
References
- 1. MBA DMYMD, Zimmerman RD, Grossman RI. Neuroradiology. Mosby. (2010) ISBN:0323045219. Read it at Google Books - Find it at Amazon
- 2. Kovoor JM, Mahadevan A, Narayan JP et-al. Cryptococcal choroid plexitis as a mass lesion: MR imaging and histopathologic correlation. AJNR Am J Neuroradiol. 2002;23 (2): 273-6. AJNR Am J Neuroradiol (full text) - Pubmed citation
- 3. Sierra S, Luquin N, Tardáguila M, Olivé A. Choroid Plexitis as a Unique Neurological Manifestation in Granulomatosis with Polyangiitis (Wegener’s Disease). J Rheumatol. 2014;41(6):1192-3. doi:10.3899/jrheum.131302 - Pubmed
- 4. Hagiwara E & Nath J. Choroid Plexitis in a Case of Systemic Nocardiosis. Emerg Radiol. 2007;14(5):337-43. doi:10.1007/s10140-007-0604-2
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