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.

Abstract

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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