A Rare Case of Pediatric Cerebello-Pontine Meningioma With Extracranial Extension

Cerebellopontine meningiomas in pediatric patients are exceptionally rare, with cases involving extracranial extension being even less common. These tumors present significant surgical challenges due to their complex anatomical location and potential for extensive involvement of surrounding structures. Imaging is crucial in evaluating the extent of the tumor, assessing cranial nerve involvement, excluding other differential diagnoses, and facilitating optimal treatment planning. Unlike their adult counterparts, pediatric meningiomas often exhibit a more aggressive growth pattern, higher recurrence rates, and poorer prognostic outcomes. We report the case of a 12-year-old boy who presented with progressive hearing loss, vertigo, and ataxia. Imaging revealed a cerebellopontine mass with invasion of the jugular foramen and extension into the parapharyngeal space via the hypoglossal canal. Histopathological analysis confirmed the diagnosis of meningothelial meningioma.