• Careers
  • About
  • Contact Us
  • Care Estimates
  • Pay My Bill
  • Give Now
  • MyChart Login
  • Schedule Appointment
Riverside Health

Riverside Health

  • Medical Services
    • Diagnostic and Imaging
    • Cancer Care
    • Gastroenterology
    • Heart and Vascular
    • Lifelong Health
    • Mental Health
    • Neurological and Spine Institute
    • Orthopedics
    • Primary Care
    • Urgent Care
    • Women's Health
    • View All Services
  • Conditions & Treatments
  • Locations
  • Find a Doctor
  • Patients & Visitors
    • Accepted Insurance
    • Care Estimates
    • Conflict Resolution
    • Patient Rights
    • Paying for Healthcare Services
    • Recognize a Caregiver
    • Send a Web Wish
    • Volunteer
  • Health Resources
    • Clinical Trials
    • Events
    • Healthy You Blogs
    • Healthy You Podcast
    • Riverside Simulation Training Lab
    • Symptom Checker
  • Careers
  • About
  • Contact Us
  • Care Estimate
  • Pay My Bill
  • Give Now
  • MyChart Login
  • Schedule Appointment
  • News Center
Need Help?

For help in finding a physician, making appointments and general information call Riverside Nurse.

1-800-675-6368
Follow Us Today
  • Twitter
  • Facebook
  • LinkedIn
  • Instagram
  • YouTube
Neurological and Spine Institute
  • Spine
    • Why Riverside
    • Prevention and Wellness
    • Managing Back Pain
    • Seeking Medical Help
    • Rehab
    • Anatomy of the Spine
    • Conditions
    • Treatments
    • Patient Stories
  • Parkinsons Disease and Movement Disorders Program
    • Movement Disorder Conditions
    • Movement Disorder Team
    • MRI Focused Ultrasound
    • Support and Education
    • Supportive Therapies and LSVT BIG and LOUD
    • Treatment Options for Movement Disorders
    • Patient Stories
  • Programs and Services
  • Neurology
    • Diagnostic Tests
    • Services
    • Support Groups
  • Stroke Services
  • Memory Care Program
    • Riverside Memory Svcs
    • The Martha W. Goodson Center
    • Healthy You Memory Care
    • Caregiver Support Groups
    • Caregiver Resources
    • Workshops and Online Learning
  • Neurosurgery
    • Functional Neurosurgery Services
    • Your Neurosurgery Team
    • Services
    • Technology
  • Neurovascular Services
    • Cerebral Aneurysm and Vascular Malformation Services
  • Brain and Spinal Tumors
    • Astrocytomas
    • Brain Metastases
    • Choroid Plexus Papilomas
    • Craniopharyngiomas
    • Ependymomas
    • Gliomas
    • Meningiomas
    • Pituitary Adenomas
    • Schwannomas
  • Home
  • Medical Services
  • Neurological and Spine Institute
  • Brain and Spinal Tumors
  • Choroid Plexus Papilomas
  • Icon Label
    • Icon Label
    • Twitter
    • Icon Label
  • Icon Label

Choroid Plexus Papillomas

  • Key Points
  • Overview
  • Causes
  • Symptoms
  • Diagnosis
  • Treatment
  • Next Steps
Key Points

  • Choroid plexus papillomas (CPPs) are rare, benign brain tumors that can disrupt cerebrospinal fluid (CSF) flow, often leading to hydrocephalus and increased intracranial pressure.
  • CPPs are most common in infants and young children, typically found in the lateral ventricles. In adults, choroid plexus papillomas are more commonly found in the fourth ventricle.
  • Symptoms vary by age but often include increased head size, vomiting, lethargy in infants, and headaches, balance issues, or vision changes in older patients.
  • MRI is the preferred diagnostic tool, with surgery being the mainstay of treatment; complete removal is often curative and significantly improves outcomes.
  • Radiation or supportive therapies may be used when needed, especially for recurrent, atypical, or incompletely resected tumors, with careful consideration in pediatric cases.

Overview

Choroid plexus papillomas (CPPs) are rare, typically benign brain tumors that arise from the choroid plexus—the tissue in the brain's ventricles responsible for producing cerebrospinal fluid (CSF). Although noncancerous, CPPs can lead to serious health issues by disrupting CSF flow, causing hydrocephalus (fluid buildup in the brain) and increased intracranial pressure.

CPPs are classified as World Health Organization (WHO) Grade I tumors, meaning they are slow-growing and have an excellent prognosis when treated effectively. These tumors are most commonly diagnosed in young children, but they can also occur in adults.

What Are Choroid Plexus Papillomas?

A choroid plexus papilloma is a neuroepithelial tumor originating in the choroid plexus lining the brain's ventricles. These tumors are:

  • Benign and slow-growing
  • Commonly found in the lateral ventricles in children
  • Usually located in the fourth ventricle in adults
  • Rarely spread beyond the central nervous system

Despite their benign nature, CPPs can grow large enough to block CSF flow, leading to neurological symptoms that require prompt medical or surgical intervention.

Who Gets Choroid Plexus Papillomas and When?

Choroid plexus papillomas are most often diagnosed in:

  • Infants and young children under the age of 2
  • Slightly more frequently in males
  • Rarely in adults, where they may present differently

In pediatric cases, CPPs account for up to 10% of brain tumors in children under 1 year old, making them one of the more common brain tumors in that age group.

Back to top

Causes

The exact cause of CPPs is not well understood. Most cases occur sporadically, meaning there is no clear genetic or environmental cause. However, some CPPs may be associated with hereditary cancer syndromes, particularly:

  • Li-Fraumeni syndrome
  • Atypical teratoid/rhabdoid tumor predisposition syndromes

These genetic syndromes involve mutations in tumor-suppressor genes, such as TP53, that can increase the risk of developing various types of tumors, including CPPs.

What Are the Causes and Risk Factors of Choroid Plexus Papillomas?

Known or potential risk factors include:

  • Genetic predisposition (e.g., Li-Fraumeni syndrome)
  • Age – Most common in children under 2
  • Tumor location – Lateral ventricles in children; fourth ventricle in adults

There are no established environmental or lifestyle-related causes of CPPs. While these tumors are mostly isolated cases, genetic testing may be recommended if a family cancer syndrome is suspected.

Back to top

Symptoms

What Are the Signs and Symptoms of Choroid Plexus Papillomas?

Symptoms are often caused by increased intracranial pressure from blocked cerebrospinal fluid flow or overproduction of cerebrospinal fluid by the tumor itself. Common signs include:

In infants and children:

  • Rapidly increasing head size
  • Bulging fontanelle (soft spot on the head)
  • Irritability or lethargy
  • Poor feeding
  • Vomiting
  • Delayed developmental milestones

In older children and adults:

  • Headaches
  • Nausea and vomiting
  • Balance or coordination problems
  • Vision issues (e.g., blurred or double vision)
  • Seizures (in rare cases)

Hydrocephalus is a frequent complication and may be the first indication of a CPP.

Back to top

Diagnosis

How Are Choroid Plexus Papillomas Diagnosed?

Diagnosis involves a combination of clinical evaluation, neuroimaging, and histological confirmation:

  • MRI (Magnetic Resonance Imaging): The preferred imaging method to identify size, location, and ventricular involvement
  • CT scan: Useful in emergencies and for evaluating calcifications or ventricular enlargement
  • Ultrasound: Can be used in infants via the fontanelle
  • Surgical Removal: Confirms the diagnosis and rules out malignance (e.g. choroid plexus carcinoma).

Advanced imaging may also assess hydrocephalus or tumor spread in the central nervous system.

Back to top

Treatment

How Are Choroid Plexus Papillomas Treated?

Treatment is focused on removing the tumor, managing hydrocephalus, and restoring normal cerebrospinal fluid circulation. Most cases require surgery, with excellent long-term outcomes in cases of complete resection.

Medical Treatment
There is no standard chemotherapy for CPPs due to their benign nature. However, supportive care may include:

  • Diuretics or steroids to reduce brain swelling or cerebrospinal fluid production
  • Seizure medications, if applicable
  • Shunt placement or endoscopic third ventriculostomy (ETV) for hydrocephalus management

Medical therapy may also be used to stabilize symptoms before surgery.

Radiation Therapy
Radiation therapy is rarely needed for typical CPPs. It may be considered in:

  • Cases of incomplete surgical removal
  • Recurrent tumors
  • Tumors with atypical or malignant features (e.g., atypical choroid plexus papilloma)

Surgical Treatment
Surgery is the primary and most effective treatment for CPPs. Surgical goals include:

  • Total tumor resection, which is often curative
  • Cerebrospinal fluid diversion to relieve hydrocephalus, if necessary

Modern neurosurgical techniques, intraoperative imaging, and minimally invasive approaches improve surgical safety and outcomes.

Back to top
Next Steps

Comprehensive Care for Choroid Plexus Papillomas

If you or a loved one has been diagnosed with a choroid plexus papilloma, our expert team is here to provide cutting-edge care and compassionate support.

Contact us today to schedule an appointment or learn more about your treatment options.

In Control Room Doctor and Radiologist Discuss Diagnosis

Riverside Brain Tumor Program

Riverside’s Brain Tumor Program brings together the best of both the Riverside Neurological and Spine Institute with the Riverside Cancer Network. Learn more about the program, the team and the types of brain tumors commonly seen.

Explore the Program
Back to top
Neurosurgeons Group

Riverside Hampton Roads Neurosurgical and Spine Specialists

Meet the neurosurgeons who care for patients with brain tumors, including choroid plexus papillomas.

Meet Riverside’s neurosurgical and spine specialists

Riverside Health

Our mission to care for others as we would care for those we love drives us to support a number of health, education and community programs.

  • Twitter
  • Facebook
  • LinkedIn
  • Instagram
  • YouTube
  • News Center
  • Nursing Recruitment & Resources
  • Price Transparency
  • Provider Recruitment & Engagement
  • Riverside Foundation

Need Help?

For help in finding a physician, making appointments and general information call Riverside Nurse.

1-800-675-6368
  • Privacy Policy
  • Non-Discrimination Policy
  • Web Privacy Policy
©2025 - Riverside Health | All right reserved
Schedule Appointment Symptom Checker Contact Us