Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Intraparenchymal Atypical Meningioma in Basal Ganglia Region in a Child : Case Report and Literature Review

  • Liu, Xiaowei (Department of Neurosurgery, West China Hospital, Sichuan University) ;
  • Zhang, Yuekang (Department of Neurosurgery, West China Hospital, Sichuan University) ;
  • Zhang, Si (Department of Neurosurgery, West China Hospital, Sichuan University) ;
  • Tao, Chuanyuan (Department of Neurosurgery, West China Hospital, Sichuan University) ;
  • Ju, Yan (Department of Neurosurgery, West China Hospital, Sichuan University)
  • Received : 2015.06.10
  • Accepted : 2015.10.25
  • Published : 2018.01.01
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Abstract

Intraparenchymal meningiomas without dural attachment are extremely rare, especially when they occur in basal ganglia region in child. An 8-year-old boy was admitted at our hospital, complaining of recurrent headache and vomiting for 3 months. Neurological examination showed impaired vision and mild paresis of the left extremities. Magnetic resonance imaging demonstrated a lesion located in the right basal ganglia region extending to superasellar cistern with solid, multiple cystic and necrotic components. Computed tomography revealed calcification within the mass. Due to the anterior cerebral artery involvement, a subtotal resection was achieved and postoperative radiotherapy was recommended. Histopathological examination indicated that the lesion was an atypical meningioma. The postoperative rehabilitation was uneventful. Mildly impaired vision and motor weakness of left extremities improved significantly and the patient returned to normal life after surgery. To our knowledge, intraparenchymal atypical meningioma in basal ganglia extending to superasellar cistern was never reported. The significance in differential diagnosis of lesions in basal ganglia should be emphasized.

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References

  1. 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 16 : 406-416, 2000 https://doi.org/10.1007/s003819900205
  2. Drake JM, Hendrick EB, Becker LE, Chuang SH, Hoffman HJ, Humphreys RP : Intracranial meningiomas in children. Pediatr Neurosci 12 : 134-139, 1985-1986 https://doi.org/10.1159/000120235
  3. Iannelli A, Pieracci N, Bianchi MC, Becherini F, Castagna M : Primary intra-diploic meningioma in a child. Childs Nerv Syst 24 : 7-11, 2008
  4. Im SH, Wang KC, Kim SK, Oh CW, Kim DG, Hong SK, et al. : Childhood meningioma : unusual location, atypical radiological findings, and favorable treatment outcome. Childs Nerv Syst 17 : 656-662, 2001 https://doi.org/10.1007/s003810100507
  5. Higano S, Takahashi S, Ishii K, Matsumoto K, Ikeda H, Sakamoto K : Germinoma originating in the basal ganglia and thalamus: MR and CT evaluation. AJNR Am J Neuroradiol 15 : 1435-1441, 1994
  6. Jadik S, Stan AC, Dietrich U, Pietila TA, Elsharkawy AE : Intraparenchymal meningioma mimicking cavernous malformation: a case report and review of the literature. J Med Case Rep 8 : 467, 2014 https://doi.org/10.1186/1752-1947-8-467
  7. Jiang XB, Ke C, Han ZA, Lin SH, Mou YG, Luo RZ, et al. : Intraparenchymal papillary meningioma of brainstem: case report and literature review. World J Surg Oncol 10 : 10, 2012 https://doi.org/10.1186/1477-7819-10-10
  8. Jung YS, Song YJ : Meningioma in a 20-month-old boy. J Korean Neurosurg Soc 51 : 219-221, 2012 https://doi.org/10.3340/jkns.2012.51.4.219
  9. Kamoshima Y, Terasaka S, Kobayashi H, Kaneko S, Kubota K, Tanaka S, et al. : Radiation induced intraparenchymal meningioma occurring 6 years after CNS germinoma: case report. Clin Neurol Neurosurg 114 : 1077-1080, 2012 https://doi.org/10.1016/j.clineuro.2012.02.008
  10. Karadereler S, Aker F, Berkman Z : Intraparenchymal meningioma in a child. Case report and review of the literature. J Neurosurg 101 (1 Suppl) : 112-115, 2004
  11. Kimura H, Nakagawa K, Sakaki S, Matsuoka K : Intracranial meningioma of an infant : a case report. No Shinkei Geka 15 : 663-668, 1987
  12. Kobayashi T, Yoshida J, Kida Y : Bilateral germ cell tumors involving the basal ganglia and thalamus. Neurosurgery 24 : 579-583, 1989 https://doi.org/10.1227/00006123-198904000-00015
  13. Kohama I, Sohma T, Nunomura K, Igarashi K, Ishikawa A : Intraparenchymal meningioma in an infant-- case report. Neurol Med Chir (Tokyo) 36 : 598-601, 1996 https://doi.org/10.2176/nmc.36.598
  14. Kotecha RS, Jacoby P, Cole CH, Gottardo NG : Morbidity in survivors of child and adolescent meningioma. Cancer 119 : 4350-4357, 2013 https://doi.org/10.1002/cncr.28366
  15. Kotecha RS, Junckerstorff RC, Lee S, Cole CH, Gottardo NG : Pediatric meningioma: current approaches and future direction. J Neurooncol 104 : 1-10, 2011 https://doi.org/10.1007/s11060-010-0503-3
  16. Kotecha RS, Pascoe EM, Rushing EJ, Rorke-Adams LB, Zwerdling T, Gao X, et al. : Meningiomas in children and adolescents: a meta-analysis of individual patient data. Lancet Oncol 12 : 1229-1239, 2011 https://doi.org/10.1016/S1470-2045(11)70275-3
  17. Legius E, Vles JS, Casaer P, Plets C, Dom R : Intraparenchymal meningioma in a 14-month-old infant: case report. Brain Dev 7 : 622-624, 1985 https://doi.org/10.1016/S0387-7604(85)80011-5
  18. Mamourian AC, Lewandowski AE, Towfighi J : Cystic intraparenchymal meningioma in a child: case report. AJNR Am J Neuroradiol 12 : 366-367, 1991
  19. Morimoto M, Aoki H, Sadamitsu N, Nakashima R : Cystic meningioma--report of two cases (author's transl). No Shinkei Geka 4 : 805-809, 1976
  20. Nayil K, Makhdoomi R, Malik R, Ramzan A : Intraparenchymal anaplastic meningioma in a child : a rare entity. Asian J Neurosurg 10 : 111-113, 2015 https://doi.org/10.4103/1793-5482.154980
  21. Park I, Huh J, Kim JH, Lee SW, Ryu MH, Kang YK : Primary central nervous system marginal zone B-cell lymphoma of the Basal Ganglia mimicking low-grade glioma: a case report and review of the literature. Clin Lymphoma Myeloma 8 : 305-308, 2008 https://doi.org/10.3816/CLM.2008.n.043
  22. Perilongo G, Sutton LN, Goldwein JW, Gusnard D, Schut L, Biegel JA, et al. : Childhood meningiomas. Experience in the modern imaging era. Pediatr Neurosurg 18 : 16-23, 1992 https://doi.org/10.1159/000120637
  23. Pinto PS, Huisman TA, Ahn E, Jordan LC, Burger P, Cohen KJ, et al. : Magnetic resonance imaging features of meningiomas in children and young adults: a retrospective analysis. J Neuroradiol 39 : 218-226, 2012 https://doi.org/10.1016/j.neurad.2011.06.003
  24. Rasalkar DD, Chu WC, Cheng FW, Paunipagar BK, Shing MK, Li CK : Atypical location of germinoma in basal ganglia in adolescents: radiological features and treatment outcomes. Br J Radiol 83 : 261-267, 2010 https://doi.org/10.1259/bjr/25001856
  25. Ravindranath K, Vasudevan MC, Pande A, Symss N : Management of pediatric intracranial meningiomas: an analysis of 31 cases and review of literature. Childs Nerv Syst 29 : 573-582, 2013 https://doi.org/10.1007/s00381-012-2010-7
  26. Sakaki S, Nakagawa K, Kimura H, Ohue S : Intracranial meningiomas in infancy. Surg Neurol 28 : 51-57, 1987 https://doi.org/10.1016/0090-3019(87)90206-0
  27. Schroeder BA, Samaraweera RN, Starshak RJ, Oechler HW : Intraparenchymal meningioma in a child: CT and MR findings. J Comput Assist Tomogr 11 : 192-193, 1987 https://doi.org/10.1097/00004728-198701000-00046
  28. Schwaighofer BW, Hesselink JR, Press GA, Wolf RL, Healy ME, Berthoty DP : Primary intracranial CNS lymphoma: MR manifestations. AJNR Am J Neuroradiol 10 : 725-729, 1989
  29. Shimbo D, Kato T, Takeda M, Ikeda H : Intraparenchymal meningioma in a child. Neurol Med Chir (Tokyo) 51 : 793-797, 2011 https://doi.org/10.2176/nmc.51.793
  30. Starshak RJ : Cystic meningiomas in children: a diagnostic challenge. Pediatr Radiol 26 : 711-714, 1996 https://doi.org/10.1007/BF01383385
  31. Teo JG, Goh KY, Rosenblum MK, Muszynski CA, Epstein FJ : Intraparenchymal clear cell meningioma of the brainstem in a 2-year-old child. Case report and literature review. Pediatr Neurosurg 28 : 27-30, 1998 https://doi.org/10.1159/000028614
  32. Wada T, Suzuki M, Beppu T, Arai H, Yoshida Y, Ogawa A, et al. : A case of subcortical meningioma. Acta Neurochir (Wien) 142 : 209-213, 2000 https://doi.org/10.1007/s007010050026
  33. Werbrouck C, Florin D, Van Holsbeeck B, Laridon E, De Weweire M, Marrannes J : Intraparenchymal meningioma in a child. JBR-BTR 97 : 46, 2014
  34. Zhang J, Chi LY, Meng B, Li F, Zhu SG : Meningioma without dural attachment: case report, classification, and review of the literature. Surg Neurol 67 : 535-539, 2007 https://doi.org/10.1016/j.surneu.2006.07.011
  35. Zhao SL, Li Y, Tian XY, Li Z, Huang Q, Li B : Intraparenchymal cystic chordoid meningioma: a case report and review of the literature. Neuropathology 31 : 648-653, 2011 https://doi.org/10.1111/j.1440-1789.2011.01214.x

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