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Pediatric spinal clear cell meningioma. Case report
Chaim B Colen1, Mahmoud Rayes, Jamal McClendon
1Department of Neurological Surgery, Wayne State University School of Medicine, Detroit, Michigan 48225, USA. ccolen@med.wayne.edu
Journal of Neurosurgery. Pediatrics
|January 6, 2009
Summary
This report details a rare spinal clear cell meningioma (CCM) in a pediatric patient. The case highlights successful surgical resection and radiotherapy, with no recurrence for over two years.
Area of Science:
- Neuro-oncology
- Pediatric Neurosurgery
- Spinal Cord Tumors
Background:
- Clear cell meningiomas (CCMs) are a subtype of meningioma.
- While not uncommon overall, pediatric spinal CCMs are rare, with only 14 previously reported cases.
- Understanding factors contributing to meningioma initiation and invasion is crucial.
Observation:
- A 13-year-old female presented with left leg pain.
- MR imaging revealed an intradural-extramedullary mass at L4-L5.
- The mass was identified as a clear cell meningioma upon resection.
Findings:
- Complete surgical resection of the spinal CCM was achieved.
- Postoperative radiotherapy was administered.
- The patient experienced no recurrence for over two years following treatment.
Implications:
- This case contributes to the limited literature on pediatric spinal CCMs.
- Management strategies for pediatric spinal CCMs require further investigation.
- A proposed treatment and surveillance algorithm is presented for this rare condition.
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