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Meningiomas in children: A study of 18 cases
Nirav Mehta1, Sanat Bhagwati, Geeta Parulekar
1Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.
Background:
Intracranial meningiomas are rare tumors in children accounting for 0.4-4.6% of all primary brain tumors in the age group of 0-18 years.
Objective:
To retrospectively analyze the epidemiological profile, clinical features, radiological findings, type of excision, histopathological findings, and overall management profile of these patients.
Materials And Methods:
Eighteen consecutive cases of meningioma in patients under 18 years of age admitted and operated at our institute between the years 1974-2005 were included in this study.
Results:
The mean age of patient at presentation to our hospital was 12.81 years. The male to female ratio was 1.57:1. The median preoperative duration of symptoms was 1.2 years. An increased incidence was seen in patients with neurofibromatosis. Intraventricular and skull base locations were common. Total tumor excision was achieved in all cases.
Conclusion:
A higher incidence of atypical and aggressive meningiomas is seen in children. Children with complete resection and a typical benign histology have a good prognosis.
Insights
Pediatric intracranial meningiomas are rare but can be aggressive. Complete surgical removal and benign histology lead to a good prognosis for children with these brain tumors.
Area of Science:
- Pediatric neurosurgery
- Pediatric oncology
- Neurosurgical oncology
Background:
- Intracranial meningiomas are rare pediatric brain tumors, comprising 0.4-4.6% of primary tumors in individuals aged 0-18 years.
- This study focuses on the specific characteristics and management of meningiomas in this young population.
Purpose of the Study:
- To retrospectively analyze the epidemiological, clinical, radiological, and histopathological features of pediatric intracranial meningiomas.
- To evaluate the management strategies and outcomes for children diagnosed with these tumors.
Main Methods:
- Retrospective analysis of 18 consecutive pediatric meningioma cases (age 0-18 years) operated between 1974-2005.
- Data collected included epidemiological profile, clinical presentation, radiological findings, surgical excision details, and histopathological diagnoses.
Main Results:
- The average age at presentation was 12.81 years, with a male-to-female ratio of 1.57:1.
- Increased incidence observed in patients with neurofibromatosis; common locations included intraventricular and skull base.
- Total tumor excision was successfully achieved in all evaluated cases.
Conclusions:
- Pediatric intracranial meningiomas exhibit a higher incidence of atypical and aggressive subtypes compared to adults.
- Favorable prognosis is associated with complete tumor resection and benign histopathological findings in pediatric patients.
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