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Cystic meningioma in children: a case report
Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|October 1, 1996
Insights
Cystic meningiomas are more common in infants and have different subtypes in children versus adults. Complete cyst wall removal is crucial for preventing recurrence in intratumoral cystic meningiomas.
Area of Science:
- Neuro-oncology
- Pediatric Neurosurgery
- Pathology
Background:
- Meningiomas are tumors arising from the meninges.
- Cystic meningiomas represent a less common variant.
- Understanding their characteristics is important for diagnosis and treatment.
Observation:
- This report details a pediatric case of cystic meningioma.
- A literature review identified 25 additional cases, totaling 26.
- Cystic changes were noted in 11 of the 26 tumors (42%), predominantly in infants.
Findings:
- Cystic meningiomas occur more frequently in infants under one year of age.
- In adults, meningotheliomatous meningiomas are the most common subtype (>50%).
- Conversely, meningotheliomatous meningiomas are the least common subtype in children.
Implications:
- Age-specific differences in meningioma subtypes necessitate tailored diagnostic and treatment approaches.
- Complete resection of the cyst wall is essential for intratumoral cystic meningiomas to prevent recurrence.
- Further research into the etiology and management of pediatric cystic meningiomas is warranted.
Abstract:
The case of a child with a cystic meningioma is reported, along with a review of 25 cases from the literature. Cystic change is more common in infants in the first year of life. Eleven of the 26 cystic tumors were in infants. More than half of the cystic meningiomas in adults are meningotheliomatous, while that is the least common subtype in children. Complete removal of the cyst wall is necessary in the intratumoral type to prevent recurrence.