Surgical Treatment of Intraventricular Meningiomas in Childhood

Mircevski, M; Mircevska, D; Bojadziev, Ilija; Basevska, R

doi:10.1007/978-3-7091-8813-2_14

Cited by 18 publications

(10 citation statements)

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“…Vomiting, which is also common, again occurred in both patients. Somnolence is a less usual feature that oc curred in case 2 related to disturbance in adjacent hypothalamic function [8,15]. Neither patient showed any stigmata of neurofibromatosis, although there is a reported association, e.g.…”

Section: Discussionmentioning

confidence: 94%

“…The usual location is within the meninges overlying the parietal, frontal and temporal lobes, in the posterior cranial fossa or along the sphe noid ridge [7], A higher incidence within the ventricles (15-17%), with fewer cases demonstrating dural attach ment, characterizes pediatric cases [8,9], Although the relative percentage of intraventricular meningiomas compared to other sites is greater in chil dren than in adults, their overall incidence is such that they are sometimes not included in reviews of intraven tricular neoplasms in childhood [10]. The bulk of these tumors have certainly occurred in adults, with a mean age of 35.9 years in the 319 patients with lateral ventricle meningiomas, 28.7 years in the patients with third ven tricle meningiomas and 35.7 years in the 19 patients with fourth ventricle meningiomas, identified by Criscuolo and Symon [11] in 1986.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinicopathological and Radiological Features of Two Cases of Intraventricular Meningioma in Childhood

Byard

Bourne²,

Clark³

et al. 1989

Pediatr Neurosurg

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The clinical, radiological and pathological features of two cases of intraventricular meningioma in a 9-year-old boy and a 9-year-old girl are reported. Presenting features included headache, vomiting and somnolence with no localizing neurological signs on physical examination. Neither patient showed evidence of neurofibromatosis. CT scans were helpful in establishing the preoperative diagnoses with uniformly hyperdense, well-circumscribed lesions showing bright enhancement after contrast within the lateral and third ventricles respectively. Histological examination revealed mixed fibroblastic/angioblastic and fibroblastic patterns, with typical electron-microscopic and immunohistochemical features of meningioma. Successful surgical removal was achieved in both cases.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Clinicopathological and Radiological Features of Two Cases of Intraventricular Meningioma in Childhood

Byard

Bourne²,

Clark³

et al. 1989

Pediatr Neurosurg

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“…In our series the mean age was 41.6 years whereas the mean age reported for the other series varied from 20 to 60 years 2,4,10,13,23 . Though in children meningiomas constitute only 1-4% of all intracranial tumours, an intraventricular location was found in 9.4%-19% 12,15,23,26,29 .…”

Section: Discussionmentioning

confidence: 99%

Meningiomas of the lateral ventricles. A review of 10 cases

et al. 2008

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SummaryBackground. Intraventricular meningiomas are rare tumours that represent about 2% of all intracranial meningiomas, and represent one of the most challenging problems in neurosurgery. They are located deep within the brain and often are sizable and highly vascular. We report on a series of 10 meningiomas of the lateral ventricles treated at our institution during the last 28 years.Patients. Ten patients (6 women, 4 men; mean age 41.6 yrs) were admitted to our medical center between 1978-2005 with meningioma of the lateral ventricles. Headache was the first symptom in 8 cases and ocular signs were present in 5 patients.Results. Seven tumours were located in the right ventricle (70%) ranging in size from 2-8 cm, with 7 tumours larger than 3 cm in diameter. Nine patients underwent surgery with total excision in 8 cases and subtotal in the other; the remaining patient only received radiosurgery.Conclusions. Total resection is the gold standard for treatment which was possible in all but one of the cases undergoing surgery. Resultados. El síntoma de debut fue la cefalea en 8 casos y en 5 pacientes existían alteraciones oculares. Siete tumores estaban localizados en el ventrículo derecho (70%) con un tamaño que oscilaba entre 2 y 8 cm.; 7 tumores tenían más de 3 cm. de diámetro. Se intervino quirúrgicamente a 9 pacientes consiguiéndose una extirpación completa en 8 casos y subtotal en el otro; el paciente restante fue tratado mediante radiocirugía estereotáctica.Conclusiones. La resección completa es el tratamiento idóneo en los meningiomas intracraneales, que exceptuando un caso fue posible en todos nuestros pacientes operados.PALABRAS CLAVE: Abordajes quirúrgicos. Meningioma intraventricular. Tratamiento quirúrgico. Tumor cerebral. Ventrículo lateral.

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“…Os meningiomas do terceiro ventrículo são divididos em lesões anteriores e posteriores, os primeiros originando-se de células da aracnóide do velum interpositum, plexo coróide e tela coróidea, e os posteriores podendo ter, além das mesmas origens, origem em estruturas localizadas fora do sistema ventricular, como a foice e o tecido conjuntivo da pineal 9,15 . A apresentação clínica varia de acordo com a localização da lesão: tumores da parte anterior do terceiro ventrículo apresentam-se com sintomas de hipertensão intracraniana e hidrocefalia, por vezes intermitente, déficits de memória, distúrbios endócrinos e visuais; as lesões posteriores habitualmente causam hidrocefalia, síndrome de Parinaud e sinais e sintomas cerebelares 4,5,10,11,15 .…”

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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Surgical Treatment of Intraventricular Meningiomas in Childhood

Cited by 18 publications

References 4 publications

Clinicopathological and Radiological Features of Two Cases of Intraventricular Meningioma in Childhood

Clinicopathological and Radiological Features of Two Cases of Intraventricular Meningioma in Childhood

Meningiomas of the lateral ventricles. A review of 10 cases

Meningioma do terceiro ventrículo na infância: relato de caso

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