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Published on: November 11, 2021
Cervical meningioma in childhood. A case report
M Vaneckova1, Z Seidl, D Kemlink
1Department of Radiology, First Faculty of Medicine, Charles University in Prague; Czech Republic - man.van@post.cz.
Abstract:
We report on a meningioma of the cervical spine in a 12-year-old boy with atypical clinical presentation. Meningiomas are relatively rare neoplasms in childhood, representing only 1 to 2% of all pediatric intracranial tumors. The distinction between the meningioma and another extramedullary, intradural tumors like schwannoma might pose difficulties. This case report points out that although a very rare tumor in children, it must be taken into account in differential diagnostics.
Insights
Pediatric spinal meningiomas are rare but present unique diagnostic challenges. This case highlights the importance of considering meningioma in children with atypical spinal tumors, even when other diagnoses like schwannoma are possible.
Area of Science:
- Pediatric Neurosurgery
- Oncology
- Spinal Cord Pathology
Background:
- Meningiomas are uncommon neoplasms in pediatric populations, accounting for 1-2% of childhood intracranial tumors.
- Spinal meningiomas in children are exceptionally rare, posing diagnostic challenges.
- Differentiating spinal meningiomas from other extramedullary, intradural tumors like schwannomas can be difficult.
Purpose of the Study:
- To report a rare case of cervical spinal meningioma in a pediatric patient.
- To emphasize the atypical clinical presentation of pediatric spinal meningiomas.
- To highlight the importance of including meningioma in the differential diagnosis of pediatric spinal tumors.
Main Methods:
- Case report of a 12-year-old boy with a cervical spine tumor.
- Clinical presentation and diagnostic workup were analyzed.
- Pathological findings were reviewed.
Main Results:
- A meningioma of the cervical spine was diagnosed in a pediatric patient.
- The patient presented with an atypical clinical course.
- Diagnostic difficulties were encountered in distinguishing meningioma from other potential spinal tumors.
Conclusions:
- Spinal meningiomas, though rare in children, should be considered in the differential diagnosis of pediatric spinal neoplasms.
- Atypical presentations necessitate a broad diagnostic approach.
- Early and accurate diagnosis is crucial for appropriate management of pediatric spinal tumors.
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