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Published on: June 28, 2024
[Intraventricular meningioma: case report in infancy]
C L Marrero1, J Domínguez, R Ramos
1Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife.
Insights
Pediatric intraventricular meningiomas are rare but can cause serious symptoms. This case highlights an atypical meningioma in a 5-year-old, emphasizing the need for prompt diagnosis and surgical removal.
Area of Science:
- Neuro-oncology
- Pediatric Neurosurgery
- Neuropathology
Background:
- Meningiomas are tumors arising from the meninges.
- Intraventricular meningiomas are rare, particularly in pediatric populations.
- Infantile meningiomas show a predilection for intraventricular locations compared to adults.
Observation:
- A 5-year-old girl presented with symptoms of increased intracranial pressure and a cranial nerve VI palsy.
- Brain imaging (CT and MRI) identified a lesion within the right lateral ventricle.
- The lesion demonstrated significant enhancement following contrast administration.
Findings:
- Surgical resection of the intraventricular tumor was successfully performed via a temporal lobe approach.
- Histopathological examination confirmed the diagnosis of an atypical meningioma.
Implications:
- This case underscores the importance of considering meningiomas in the differential diagnosis of pediatric intracranial masses.
- Prompt surgical intervention is crucial for managing symptomatic intraventricular tumors in children.
- Atypical meningiomas in pediatric patients warrant careful follow-up due to potential for recurrence.
Abstract:
Meningiomas are infrequent tumours in infancy but when they appear in this age group, the intraventricular location is more frequent than in adults. We report the case of a 5-year-old girl with intracranial hypertension and a VI nerve palsy. Computed tomography and magnetic resonance imaging of the brain revealed a tumoral lesion involving the right lateral ventricle with intense enhancement after contrast administration. It was completely resected through a mean temporal circunvolution route. Histological diagnosis was of atypical meningioma.
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