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Paediatric meningeal tumours

C L Mallucci1, S E Parkes, P Barber

  • 1Department of Neurosurgery, Birmingham Children's Hospital, UK.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|October 1, 1996
PubMed
Summary
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Pediatric meningeal tumors are rare, with meningiomas being more common than malignant types. Complete surgical excision and early diagnosis are crucial for better outcomes in children with these central nervous system tumors.

Area of Science:

  • Pediatric Oncology
  • Neurosurgery
  • Neuropathology

Background:

  • Meningeal tumors are rare in children, comprising 1.62% of all central nervous system (CNS) tumors.
  • This review focuses on meningeal tumors in patients under 16 years treated between 1957 and 1993.

Purpose of the Study:

  • To review the experience with meningeal tumors in pediatric patients.
  • To analyze the characteristics, treatment, and outcomes of meningiomas and malignant meningeal tumors in children.

Main Methods:

  • Retrospective review of pediatric patients diagnosed with meningeal tumors.
  • Analysis of tumor location, surgical intervention, and patient survival data.

Main Results:

  • 16 cases of meningiomas (median age 12) and 5 of malignant meningeal tumors (median age 3) were identified.

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  • Malignant tumors had a poor prognosis (median survival 5 months).
  • Supratentorial origin and intraventricular location were common; female preponderance seen in adults was not observed in children.

    • Conclusions:

    • Pediatric meningeal tumors, particularly meningiomas, often present as supratentorial and intraventricular lesions.
    • Incomplete surgical excision and presenting neurological deficits are associated with poor outcomes.
    • Aggressive management and complete resection are vital for improving survival in pediatric meningeal tumors.