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Published on: June 28, 2024
[Meningiomas in pediatric patients: report of 2 cases]
R A Hanel1, C E Tatsui, J C Araujo
1Hospital Nossa Senhora das Graças, Curitiba, PR, Brasil. rhanel@hotmail.com
Abstract:
Meningiomas correspond to 1% - 4% of primary intracranial tumors in pediatric group, with their incidence raising according to age. There is not gender prevalence, in spite of some authors describe a male tendency opposed to female one in adulthood. At present study we describe two cases of pediatric meningiomas reviewing clinical, radiological and histological aspects of these lesions. The authors review also treatment options and prognosis of childhood meningiomas. A two-year-old boy was admitted with seizures. Computerized tomography showed a right parietal lesion, which was totally resected. Histological features were compatible with meningioma. After 17 months the child is doing well, with no deficits or seizures. The second case is a 12-year-old girl, with a headache complain. During investigation, a CT revealed a right frontal lesion. She was operated under a right frontal craniotomy with total tumor resection. Nowadays she is asymptomatic, 20 months after surgery. Despite meningiomas in pediatric group are uncommon; they should be included in differential diagnosis list of expansive intracranial lesions of childhood.
Insights
Pediatric meningiomas are rare intracranial tumors. This study highlights two successful surgical resections in children, emphasizing their inclusion in the differential diagnosis for childhood brain lesions.
Area of Science:
- Neuro-oncology
- Pediatric Neurosurgery
Background:
- Meningiomas represent 1-4% of pediatric primary intracranial tumors, with incidence increasing with age.
- While generally lacking gender prevalence, some studies note adult male or female tendencies.
- This study focuses on clinical, radiological, and histological aspects of pediatric meningiomas, alongside treatment and prognosis.
Observation:
- Two pediatric cases of meningioma are presented: a 2-year-old boy with seizures and a 12-year-old girl with headaches.
- Radiological imaging (CT scans) revealed right parietal and right frontal lesions, respectively.
- Both lesions were completely resected via surgery.
Findings:
- Histological examination confirmed meningioma in both pediatric patients.
- The young boy remains seizure-free and without deficits 17 months post-surgery.
- The young girl is asymptomatic 20 months after her craniotomy and tumor resection.
Implications:
- Pediatric meningiomas, though uncommon, warrant consideration in the differential diagnosis of pediatric intracranial expansive lesions.
- Successful surgical management offers a favorable prognosis for childhood meningiomas.
- Further research into the specific characteristics and optimal management of pediatric meningiomas is valuable.
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