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Huge meningioma in a child
M Matsuda1, Y Hara, K Watanabe
1Department of Neurosurgery, Shiga University of Medical Science, Ohtsu, Japan.
Surgical Neurology
|April 1, 1989
Summary
A rare large transitional meningioma in a 6-year-old boy caused an enlarged head and increased intracranial pressure. Surgical resection was successful, highlighting unique aspects of pediatric intracranial meningiomas.
Area of Science:
- Pediatric neurosurgery
- Neuro-oncology
- Cerebral tumor research
Background:
- Intracranial meningiomas are rare in children, posing diagnostic and surgical challenges.
- This case highlights the presentation and management of a large pediatric meningioma.
Observation:
- A 6-year-old boy presented with macrocephaly, Foster Kennedy syndrome, and signs of elevated intracranial pressure.
- Imaging revealed a large right parietooccipital tumor, confirmed as a transitional meningioma.
Findings:
- The tumor was completely resected, including the affected transverse sinus, in a staged surgical approach.
- Histopathological analysis confirmed the diagnosis of transitional meningioma.
Implications:
- This case underscores the importance of considering meningiomas in pediatric differential diagnoses for large intracranial masses.
- Successful surgical outcomes are achievable, even with extensive tumors involving critical venous structures.
- Further research into the peculiarities of childhood meningiomas is warranted to improve understanding and treatment strategies.