Abstract
Meningiomas in children account for less than 2% of all meningiomas, and their location in the spinal region is even less common. The authors present a case of a 20-month-old female who presented with lumbar back pain, neurogenic bladder and progressive paraparesis 6 months after she started to walk. Magnetic resonance imaging demonstrated an intradural extramedullary neoplasm extending from the tenth thoracic vertebra to the third lumbar vertebra. Complete excision of the tumor was performed by means of laminoplasty and the patient had a satisfactory postoperative recovery. Pathology and immunohistochemical studies diagnosed psammomatous meningioma.
References
1.
Deen HG, Schithauer BW, Ebersold MJ: Clinical and pathological study of meningiomas of the first two decades of life. J Neurosurg 1982;56:317–332.
2.
Fortuna A, Nolletti A, Nardi P, Caruso R: Spinal neurinomas and meningiomas in children. Acta Neurochir (Wien) 1981;55:329–341.
3.
Weil SM, Gewirtz RJ, Tew JM: Concurrent intradural and extradural meningiomas of the cervical spine. Neurosurgery 1990;27:629–631.
4.
Levy WJ, Bay J, Dohn D: Spinal cord meningioma. J Neurosurg 1982;57:804–812.
5.
Solero CL, Fornari M, Giombini S, et al: Spinal meningiomas: review of 174 operated cases. Neurosurgery 1989;25:153–160.
6.
Youmans JR: Neurological surgery; in Hendrick EB (ed): Spinal Cord Tumors in Children. Philadelphia, Saunders, 1982, vol 5, pp 3215–3221.
7.
Fujii K, Sugita K, Honda T, Ishiwada N, Murakami M, Niimi H: Intradural spinal meningioma in a 5-year-old female. Brain Dev 1995;17:349–351.
8.
Founier D, Mercier P, Pouplard F, et al: Invasive character of an intradural spinal meningioma in childhood. Childs Nerv Syst 1993;9:28–32.
9.
Richardson FL: A report of 16 tumors of the spinal cord in children. J Pediatr 1960;57:42–54.
10.
Roux FX, Rose CS, Renier D, et al: Les méningiomes du nourrisson et de l’enfant. Neurochirurgie 1980;26:341–347.
11.
Park HC, Sohn MJ, Kim EY, Han HS, Park HS: Spinal clear cell meningioma presented with progressive paraparesis in infancy. Childs Nerv Syst 2000;16:607–610.
12.
Kozlowski K, Michalski M: Selten auftretende intraspinale Tumoren bei Kindern. Fortchr Röntgenstr 1962;96:531–539.
13.
Molleston MC, Moran CJ, Roth KA, Rich KM: Infantile meningioma. Pediatr Neurosurg 1994;21:195–200.
14.
Klekamp J, Samii S: Surgical results for spinal meningiomas. Surg Neurol 1999;52:552–562.
15.
Cushing H, Eisenhardt L: Meningiomas. Their Classification, Regional Behavior, Life History and Surgical End Results. Springfield, Thomas, 1938, pp 71–73.
16.
Crouse SK, Berg BO: Intracranial meningiomas in childhood and adolescence. Neurology 1972;22:135–141.
17.
Taptas J: Intracranial meningioma in a four-month-old infant simulating subdural hematoma. J Neurosurg 1961;18:120–121.
18.
Nelson JS, Parisi JE, Schocher SS: Principles and practice of neuropathology; in Parisi JE, Mena H (eds): Non-Glial Tumors. St. Louis, Mosby-Year Book, 1993, pp 203–213.
19.
Schaller B: Spinal meningioma: relationship between histological subtypes and surgical outcome? J Neurooncol 2005;75:157–161.
20.
Hollis PH, Malis LI, Zappulla RA: Neurological deterioration after lumbar puncture below complete spinal subarachnoid block. J Neurosurg 1986;64:253–256.
21.
Calogero JA, Moossy J: Extradural spinal meningiomas. J Neurosurg 1972;37:442–447.
22.
Namer IJ, Pamir MN, Benli K, Saglam S, Erbengi A: Spinal meningiomas. Neurochirurgie 1987;30:11–15.
23.
Rothman RH, Simeone FA: The spine; in Simeone FA (ed): Intradural Tumors, ed 3. Philadelphia, WB Saunders, 1992, pp 1515–1517.
24.
Roux FX, Nataf F, Pinaudeau M, Borne G, Devaux B, Meder JF: Intraspinal meningiomas: review of 54 cases with discussion of poor prognosis factors and modern therapeutic management. Surg Neurol 1996;46:458–464.
25.
Gezen F, Kahraman S, Çanakci Z, Bedük A: Review of 36 cases of spinal cord meningioma. Spine 2000;25:727–731.
26.
Kleihues P, Burger PC, Scheithauer BW: The new WHO classification of brain tumors. Brain Pathol 1993;3:255–268.
27.
Amirjamshidi A, Mehrazin M, Abbassioun K: Meningiomas of the central nervous system occurring below the age of 17: report of 24 cases not associated with neurofibromatosis and review of literature. Childs Nerv Syst 2000;16:406–416.
28.
Zülch KJ: Histological Typing of Tumors of the Central Nervous System. Geneva, World Health Organization, 1979.
29.
Liu PI, Liu GC, Tsai KB, Lin CL, Hsu JS: Intraspinal clear-cell meningioma: case report and review of literature. Surg Neurol 2005;3:285–289.
30.
Shih DF, Wang JS, Pan RG, Tseng HH: Clear-cell meningioma: a case report. Zhonghua Yi Xue Za Zhi (Taipei) 1996;57:452–456.
31.
Epstein NE, Drexler S, Schneider J: Clear cell meningioma of the cauda equina in an adult: case report and literature review. J Spinal Disord Tech 2005;18:539–543.
32.
Mirimanoff RO, Dosretz DE, Lingood RM, Ojemann RG, Martuza RL: Meningioma: analysis of recurrence and progression following neurosurgical resection. J Neurosurg 1985;62:18–24.
33.
Schut L, Canady AI, Sutton LN, et al: Meningeal tumors in children. Pediatr Neurosurg 1994;20:207–213.
34.
Drake JM, Hendrick EB, Becker LE, et al: Intracranial meningiomas in children. Pediatr Neurosci 1985;12:134–139.
35.
Evans DGR, Birch JM, Ramsden RT: Paediatric presentation of type 2 neurofibromatosis. Arch Dis Child 1999;81:496–499.
36.
Albrecht S, Goodman JC, Rajagopolan S, Levy M, Cech DA, Cooley LD: Malignant meningioma in Gorlin’s syndrome: cytogenetic and p53 gene analysis. Case report. J Neurosurg 1994;81:466–471.
37.
Moss SD, Rockswold GL, Chou SN, Yock D, Berger MS: Radiation-induced meningiomas in pediatric patients. Neurosurgery 1988;22:758–761.
38.
Sadetzki S, Flint-Richter P, Ben-Tal T, Nass D: Radiation-induced meningioma: a descriptive study of 253 cases. J Neurosurg 2002;97:1078–1082.
39.
DiRocco C, Caldarelli M, Puca A, et al: Multiple spinal meningiomas in children. Neurochirurgia 1984;27:25–27.
40.
Bickerstaff ER, Rasmussen TB, Kernohan JW, Adson AW: Pathologic classification, with surgical consideration, of intraspinal tumors. Ann Surg 1940;111:513–530.
41.
Early CB, Sayers MP: Spinal epidural meningioma. Case report. J Neurosurg 1966;25:571–573.
42.
Cohen-Gadol AA, Zikel OM, Koch CA, Scheithauer BW, Krauss WE: Spinal meningiomas in patients younger than 50 years of age: a 21-year experience. J Neurosurg Spine 2003;98:258–263.
43.
Naderi S, Yilmaz M, Canda T, Acar U: Ossified thoracic spinal meningioma in childhood. A case report and review of the literature. Clin Neurol Neurosurg 2001;103:247–249.
© 2008 S. Karger AG, Basel
2008
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