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[Clear cell meningioma: recurrent intraspinal tumor in a child]
C Cancès1, Y Chaix, C Karsenty
1Unité de neurologie pédiatrique, CHU Purpan, Toulouse, France.
Background:
Meningiomas represent 1.5% to 4.3% of cerebral and medullar primary tumors in children.
Case Report:
A 9-year-old girl had a history of thoracolumbar scoliosis. An intracanalar and extramedullar tumor was confined to the lumbar region. Resection identified a clear cell meningioma. A symptomatic and tumoral recurrence occurred 5 months later in the same region. After a second resection, the patient received radiotherapy. At 8 months follow-up, no recurrence was documented.
Conclusions:
A stiff and painful scoliosis can be predictive of expansive intracanalar tumor. The recurrent or multifocal evolution of clear cell meningioma show the "aggressive behavior" of this histological type. A preventive radiotherapy could be proposed, depending on the age of the patient and the localization of the tumor.