Cystic meningiomas in infancy.

Area of Science:

• Pediatric neurosurgery
• Neuro-oncology
• Cystic lesions in brain tumors

Background:

• Suprasellar meningiomas are rare intracranial tumors.
• Intratumoral cysts are an uncommon feature in meningiomas, particularly in pediatric cases.

Observation:

• A case of suprasellar meningioma with multiple intratumoral cysts in a 6-month-old boy is presented.
• Literature review identified only 11 previously reported cases of pediatric suprasellar meningiomas with intratumoral cysts.

Findings:

• Pediatric suprasellar meningiomas with intratumoral cysts exhibit a male predominance.
• Fibroblastic meningioma is the predominant pathological subtype in these rare cases.
• Intratumoral cysts are less frequent than peritumoral cysts in this tumor type.

Implications:

• Understanding the pathogenesis of cyst formation in meningiomas is crucial.
• This case contributes to the limited literature on pediatric cystic suprasellar meningiomas.
• Further research may elucidate specific factors contributing to cyst development in these tumors.