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Multiple extracranial meningiomas in a child
1T.Y. Nelson Department of Neurology and Neurosurgery, Royal Alexandra Hospital for Children, Camperdown, Sydney, Australia.
Insights
Childhood meningioma is rare. This case highlights optic nerve sheath meningioma presenting as proptosis, followed by spinal meningioma causing back pain and stiffness in a pediatric patient.
Area of Science:
- Pediatric Oncology
- Neuro-oncology
- Neurosurgery
Background:
- Meningiomas are rare central nervous system tumors, particularly in pediatric populations.
- Optic nerve sheath meningiomas represent a subset of these tumors, often presenting with visual disturbances.
Observation:
- A pediatric patient presented with proptosis, indicative of an ocular or orbital mass.
- The patient subsequently developed back pain and stiffness, suggesting a spinal etiology.
Findings:
- Histopathological examination confirmed the presence of an optic nerve sheath meningioma as the cause of proptosis.
- Further investigation revealed a concurrent spinal meningioma responsible for the patient's back pain and stiffness.
Implications:
- This case underscores the importance of considering meningioma in the differential diagnosis of pediatric proptosis and spinal symptoms.
- The occurrence of synchronous intracranial and spinal meningiomas in a child warrants further investigation into potential underlying genetic or developmental factors.
Abstract:
Meningioma is an uncommon tumour in childhood. We report the case of a child presenting with proptosis, which proved to be due to an optic nerve sheath meningioma. Subsequently, he complained of back pain and stiffness, and upon investigation this was also revealed to be due to a meningioma.