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Intracranial meningiomas in children: report of 8 cases
George A Alexiou1, Evriviadis Mpairamidis, Antonios Psarros
1Department of Neurosurgery, Children's Hospital Agia Sofia, Athens, Greece. alexiougrg@yahoo.gr
Background/Aims:
Meningiomas, although common in adults, are rare in infancy and childhood. We present a single institution experience of children with meningiomas and a comparison of our findings with other published data.
Methods:
We reviewed the files of 352 children harboring a brain tumor, over a 16-year period. Eight cases of meningioma were verified (2.2%). All patients had been operated on and then had regular follow-up examinations.
Results:
There were 6 males and 2 females. The most common symptom was seizures. All tumors were intracranial and all patients underwent a gross total resection of the lesion. Six meningiomas were typical, whereas 2 patients had an atypical meningioma. After a mean 7-year follow-up period, all patients were in excellent condition, without evidence of tumor recurrence.
Conclusion:
Meningiomas, although rare, constitute a challenging problem. Gross total resection should be the goal and when it can be accomplished, the prognosis is excellent.
Insights
Pediatric meningiomas are rare but treatable brain tumors. Complete surgical removal offers an excellent prognosis for children, with no recurrences observed in this study.
Area of Science:
- Pediatric neurosurgery
- Pediatric oncology
- Neurosurgical oncology
Background:
- Meningiomas are uncommon in pediatric populations compared to adults.
- This study details a single institution's experience with pediatric meningiomas.
Observation:
- Eight cases of pediatric meningioma were identified over 16 years (2.2% of pediatric brain tumors).
- Seizures were the most frequent presenting symptom.
- All intracranial tumors were completely resected.
Findings:
- Six typical and two atypical meningiomas were diagnosed.
- After a 7-year follow-up, all patients showed excellent outcomes with no tumor recurrence.
- Gross total resection is achievable in pediatric meningioma cases.
Implications:
- Pediatric meningiomas, though rare, require surgical expertise for optimal outcomes.
- Complete resection is critical for favorable long-term prognosis in pediatric patients.
- Further research into the specific characteristics of pediatric meningiomas is warranted.
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