Intracranial Meningiomas of Infancy, Childhood and Adolescence

Herz, David A.; Shapiro, Kenneth; Shulman, Kenneth I.

doi:10.1159/000119928

Cited by 45 publications

(14 citation statements)

References 4 publications

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“…The duration of symptoms prior to presentation was relatively long, 1.8 years, but consistent with other reported series of meningiomas in children (2 years [13]; 1.5 years [7]). Skull films were almost uniformly abnormal and are still a valuable examination [6], CT scanning has be come the definitive diagnostic method of choice.…”

Section: Discussionsupporting

confidence: 89%

“…The average age at presentation of 11.6 years was almost double that of all other tumors at this institution (6.3 years) over a similar time period [23]. Males predominated in this series 3.3:1 and this lack of female predominance is common to other child hood series [1,2,7,9,13,17,21] with one exception [3] and contrasts markedly with the female preponderance seen in adult series.…”

Section: Discussionmentioning

confidence: 44%

“…In a multi in stitutional review of 48 cases of childhood meningio mas, excluding other meningeal tumors, a mortality rate of 31% was reported [13]. In a literature review of 97 cases of childhood meningiomas [7], a mortality rate of 32% was recorded although in the authors' own series, 7 of 9 patients (78%) with meningiomas made a good recovery with 1 death at an average of 4 years of follow up. We have also considered meningiomas as a separate entity, and report good or excellent outcome of 85% at an average of 6 years of follow-up.…”

Section: Discussionmentioning

confidence: 93%

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Intracranial Meningiomas in Children

et al. 1985

Pediatr Neurosurg

105

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 44%

Section: Discussionmentioning

confidence: 93%

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Intracranial Meningiomas in Children

et al. 1985

Pediatr Neurosurg

105

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“…A localização destes tumores nos ventrículos, mais rara nos adultos, é bem mais frequente nas crianças, sendo que cerca de 15 a 17% dos meningiomas na infância se localizam no sistema ventricular, mais comumente no átrio do ventrículo lateral. A teoria mais aceita sobre a origem destas lesões é a de que elas surgem de células meningoteliais do estroma do plexo coróide [1][2][3][4][5][6][11][12][13] .…”

Section: Discussionunclassified

“…No adulto, tais lesões representam cerca de 20% dos tumores intracranianos. A localização intraventricular dos meningiomas é rara, embora na divisão dos casos por faixa etária, seja mais comum em crianças (15 a 17%) do que em adultos (1,6%), sendo os ventrículos laterais a localização mais frequente [1][2][3][4][5][6][7][8][9] …”

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Meningioma do terceiro ventrículo na infância: relato de caso

Costa¹,

Vilela²,

Lemos

2000

Arq. Neuro-Psiquiatr.

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RESUMO -Objetivo: Meningiomas intraventriculares são lesões raras, mais ainda as que acometem o terceiro ventrículo. Na infância, somente 16 casos foram relatados na literatura. Acrescentamos este relato de meningioma da parte anterior do terceiro ventrículo em uma menina, juntamente com breve revisão da literatura. Apresentação e intervenção: Criança previamente hígida, de 5 anos, foi internada com história de vômitos e cefaléa de 2 meses de duração. Ao exame clínico e neurológico, foi notado somente papiledema. Foi realizada tomografia computadorizada de crânio, que mostrou volumosa lesão na linha média supratentorial, ocupando toda a região do terceiro ventrículo, captante, com dilatação ventricular suprajacente. A paciente foi submetida a craniotomia frontal direita, e a lesão totalmente removida através da via transcalosa interfornical. O pós-operatório foi sem intercorrências, e não foi necessária derivação ventricular permanente. Hoje, dois anos e meio após a alta, a criança está em acompanhamento ambulatorial, sem déficits neurológicos, com bom desempenho escolar e sem evidência de recidiva nas tomografias de controle. Conclusão: Meningiomas da parte anterior do terceiro ventrículo são lesões raras na infância. O tratamento cirúrgico dos meningiomas intraventriculares no passado era associado a altas taxas de morbidade e mortalidade. Com o advento das modernas técnicas neuroanestésicas e neurocirúgicas, e do suporte intensivo pós-operatório, atualmente estas lesões podem ser removidas na sua totalidade, com morbidade e mortalidade praticamente nulas. PALAVRAS-CHAVE: infância, meningioma intraventricular, acesso transcaloso.Third ventricle meningioma in a child: case report ABSTRACT -Meningiomas in childhood are rare, and those located in the third ventricle are even rarer, with only 16 cases reported. A five-year-old girl was seen at our hospital with headache and bilateral papilledema. CT scan showed a large third ventricular mass and associated hydrocephalus. Transcallosal interfornical approach was performed with total removal of the tumor, that was attached to the choroid plexus of the anterior third ventricle. Histologically the lesion proved to be a transitional meningioma. The recovery was uneventful, a permanent shunt was not necessary. The diagnosis of these tumors can be done using CT scan or MRI, that usually are sufficient for surgical planning. Angiography usually is not required, unless a vascular lesion is concerned, or embolization is necessary. The treatment of these tumors is surgical, aiming the total removal of the lesion, usually curative once it is acomplished. We report this case, and add a brief review of the literature on third ventricle meningiomas.KEY WORDS: childhood, intraventricular meningioma, transcallosal approach.A incidência de meningiomas intracranianos na infância é cerca de 1,5 a 2,5% de todos os tumores intracranianos nesta faixa etária. No adulto, tais lesões representam cerca de 20% dos tumores intracranianos. A localização intraventricular dos meningiomas é rara,...

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Meningioma in the pediatric population

Baumgartner

Sorenson

1996

J Neuro-Oncol

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Pediatric meningiomas are rare. They are usually seen in association with neurofibromatosis type 2 (NF-2) or following radiation therapy. The tumors are more frequently intraventricular, cystic, and infratentorial than are those in adult patients. Pathologically they are more histologically aggressive than in adults and tend to recur more frequently. Complete resection is the surgical goal. The treatment of subtotally resected meningiomas, particularly in NF-2, remains controversial.

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Intracranial Meningiomas of Infancy, Childhood and Adolescence

Cited by 45 publications

References 4 publications

Intracranial Meningiomas in Children

Intracranial Meningiomas in Children

Meningioma do terceiro ventrículo na infância: relato de caso

Meningioma in the pediatric population

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