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Paediatric intraventricular meningiomas. A report of two cases
Sushma Ramraje1, Sakshi Kulkarni, Barnik Choudhury
1Associate Professor, Department of Pathology, Grant Medical College, Mumbai-400008.
Abstract:
Meningiomas are rare in children comprising less than 3% of paediatric brain tumours and only 1.5-1.8% of all intracranial neoplasms. Intraventricular meningiomas (IVM) account for 0.5-5% of all meningiomas. They arise in the ventricles from arachnoid cap cells contained within the choroid plexus, the tela choroidea, or the velum interpositum. Paediatric tumours also show an association with neurofibromatosis type 2 and previous radiation exposure.We present two cases of intraventricular meningiomas, both in children. The age and site of the lesion in the two cases are uncommon. Excision of the lesions caused a total subsidence of the symptoms with no reported recurrences.
Insights
This study highlights two rare pediatric intraventricular meningiomas (IVM). Surgical removal of these uncommon brain tumors led to complete symptom resolution and no recurrence in young patients.
Area of Science:
- Pediatric Neurosurgery
- Neuro-oncology
- Tumor Biology
Background:
- Meningiomas are rare in children, representing less than 3% of pediatric brain tumors.
- Intraventricular meningiomas (IVMs) constitute a small subset (0.5-5%) of all meningiomas.
- Pediatric meningiomas are associated with neurofibromatosis type 2 and prior radiation exposure.
Observation:
- Two pediatric cases of intraventricular meningiomas are presented.
- The age and specific location of the tumors in these cases were atypical.
- Both patients presented with symptoms related to the intraventricular lesions.
Findings:
- Surgical excision of the intraventricular meningiomas was performed.
- Complete subsidence of symptoms was observed post-operatively in both cases.
- No tumor recurrence was reported during the follow-up period.
Implications:
- This case series suggests that surgical resection is an effective treatment for pediatric intraventricular meningiomas.
- Early diagnosis and intervention can lead to favorable outcomes in rare pediatric brain tumors.
- Further research into the specific characteristics and management of pediatric IVMs is warranted.
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