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Published on: June 28, 2024
Pediatric age, posterior fossa meningioma
Mehmet R Onen1, Evren Yüvrük1, Caner Sarikaya1
1From the Department of Neurosurgery (Onen, Yüvrük), VM Maltepe Medicalpark Hospital, Department of Neurosurgery (Sarikaya, Naderi), Umraniye Teaching and Research Hospital, Istanbul, Turkey.
Abstract:
Meningiomas are benign, slow-growing tumors originating from arachnoid gap cells. They constitute 15%-20% of all intracranial tumors in adults and 04%-4% in the pediatric age group. Meningiomas in the posterior fossa in the pediatric period do not initially come to mind. In the case presented here, there was a cystic meningioma showing heterogenous contrast and obstructive hydrocephaly was observed associated with 4th ventricle pressure. the tumor was totally removed, then the ventriculo peritoneal shunt was applied.
Insights
Pediatric posterior fossa meningiomas, though rare, can present as cystic tumors causing obstructive hydrocephalus. Surgical removal and cerebrospinal fluid diversion are effective treatments for this rare pediatric brain tumor.
Area of Science:
- Neuro-oncology
- Pediatric Neurosurgery
Background:
- Meningiomas are typically benign, slow-growing tumors arising from arachnoid cells, common in adults but less frequent in children.
- Posterior fossa meningiomas are particularly uncommon in the pediatric population, often overlooked in initial diagnoses.
Observation:
- A pediatric case presented with a cystic meningioma in the posterior fossa, characterized by heterogeneous contrast enhancement.
- This tumor led to obstructive hydrocephalus due to pressure on the fourth ventricle.
Findings:
- Complete surgical resection of the cystic meningioma was achieved.
- A ventriculoperitoneal shunt was subsequently placed to manage the hydrocephalus.
Implications:
- Highlights the importance of considering meningiomas in pediatric posterior fossa masses, even when rare.
- Demonstrates the successful management of pediatric cystic meningiomas with associated obstructive hydrocephalus through surgical intervention and shunting.
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