Intradiploic meningioma with spontaneous epidural hematoma in a child: a case report

Intradiploic meningiomas are exceedingly rare tumors that arise within the skull's diploic space, and they are especially uncommon in the pediatric population. To date, an intradiploic meningioma presenting with a spontaneous epidural hematoma has not been reported in a child.

We present the case of an 8-year-old boy with a 4-year history of a right frontal skull mass who developed a sudden severe headache. Imaging revealed an expansile lytic lesion in the right frontotemporal bone with an associated epidural hematoma, despite no history of trauma. The patient underwent surgical resection of the lesion and evacuation of the hematoma. Histopathological analysis confirmed a meningioma.

This case represents the first reported pediatric intradiploic meningioma presenting with a spontaneous epidural hematoma. It underscores that in cases of epidural hematoma without trauma, an underlying pathology such as a tumor should be suspected. Prompt surgical intervention in such cases can be life-saving.