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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
PubMed

Insights

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.

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