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Giant meningioma in a 5-month-old infant
M J López1, J L Olivares, F Ramos
1Department of Pediatrics, University Clinical Hospital, Zaragoza, Spain.
Insights
This report details a rare intracranial meningioma in a 5-month-old infant, one of only 25 pediatric cases globally. Prompt diagnosis and surgical removal led to a stable outcome for the child.
Area of Science:
- Pediatric Neurosurgery
- Pediatric Oncology
- Neuro-oncology
Background:
- Intracranial meningiomas are rare in infants, with only 25 cases documented in children under one year old.
- This case highlights the challenges and diagnostic approaches for infant meningiomas.
Observation:
- A 5-month-old infant presented with significant macrocephaly, a key clinical indicator.
- Diagnostic imaging, including skull X-rays, CT scans, and cerebral angiography, was crucial for identifying the tumor.
Findings:
- Pathological analysis confirmed an intracranial meningioma.
- The tumor was surgically removed, weighing an substantial 600g.
Implications:
- Complete surgical extirpation is the preferred treatment for infant intracranial meningiomas.
- Early diagnosis and intervention can lead to favorable long-term outcomes, as demonstrated by the child's stable condition at 24 months post-surgery.
Abstract:
A case of intracranial meningioma is reported in a 5-month-old infant. To date, 25 cases have been reported in the world literature in children less than 1 year of age. Macrocephaly was the most prominent clinical finding. Skull radiological studies, head CT scans, and cerebral angiography were definitive tools in making the diagnosis. Pathological analysis was conclusive. Complete surgical extirpation was the treatment of choice; the tumor weighed 600 g. The child remains stable 24 months later.