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Cervico-occipital meningioma in a 5-year-old child: a case report

Atef Ben Nsir1, Adnene Boubaker, Hafedh Jemel

  • 1Tunisian National Institute of Neurology, Department of Neurosurgery, Tunis, Tunisia.

Turkish Neurosurgery
|February 19, 2014
PubMed
Abstract

Insights

Meningiomas are rare pediatric central nervous system (CNS) tumors. This case highlights a cervico-occipital meningioma in a child, emphasizing its consideration in diagnosing spinal lesions.

Area of Science:

  • Pediatric Neurosurgery
  • Neuro-oncology
  • Spinal Cord Imaging

Background:

  • Childhood meningiomas are rare, accounting for 0.4-4.6% of pediatric CNS tumors.
  • Cervico-occipital meningiomas represent 3.7% of these rare pediatric tumors.

Observation:

  • A 5-year-old female presented with persistent cervico-occipital pain, initially misdiagnosed as meningitis.
  • MRI revealed a subdural extra medullary mass at the cervico-occipital junction, encasing the vertebral artery.
  • Surgical exploration unexpectedly identified a meningothelial meningioma.

Findings:

  • Complete surgical resection was achieved, with a small portion near the vertebral artery preserved.
  • Pathological examination confirmed the diagnosis of meningothelial meningioma.
  • The lesion was tightly adhered to the dura at the vertebral artery's entry point.

Implications:

  • Meningioma should be included in the differential diagnosis for pediatric cervico-occipital subdural masses.
  • This case underscores the importance of comprehensive imaging and diagnostic considerations in pediatric spinal pathologies.
  • Early and accurate diagnosis of pediatric meningiomas is crucial for effective treatment and outcomes.

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