Turkish Neurosurgery 1996 , Vol 6 , Num 3-4
CHILDHOOD MALIGNANT MENINGIOMA
Metin GÜNER1, Ünal KİRİŞOĞLU1,Engin UÇAR1, Tansu MERTOL1, Kutsal YÖRÜKOĞLU2
1Dokuz Eylül University, School of Medicine, Departments of Neurosurgery, Izmir, Turkey
2Dokuz Eylül University, School of Medicine, Departments of Pathology, Izmir, Turkey
Childhood meningiomas, besides their rarity, grow fast, recur frequently and have a dismal prognosis when compared with adult rumors. A five year old patient presenting with headache, emesis and left hemiparesia was admitted to our hospital in 1990. On computerized tomography a 85x80x87 mm mass in the right frontoparietal region surrounded by significant edema, having a wide base on the falx causing 2 cm shift to left was found. The patient was operated on in our clinic with a diagnosis of multilobuled giant intracranial meningioma. The tumor showing frequent recurrence and sarcomatous changes is presented and discussed. Although the CT findings in this case suggest malignancy the behavior of the meningiomas is usually determined by histologic nature. In cases where frequent recurrence is seen the period between recurrences diminishes in time. Therefore CT controls are important in diagnosing recurrence. Total excision in early stage may increase the chance of survival. Keywords : Childhood, malignant, meningioma
Corresponding author : Metin Güner