Turkish Neurosurgery
Management of pediatric intracranial meningiomas: report of 10 cases, review of literature
Eldaniz Mammadli1, Can Kıvrak1, Mustafa Sakar1, Kadriye Ebru Akar2, Süheyla Bozkurt2, Adnan Dağçınar1
1Marmara University, Neurosurgery, Istanbul,
2Marmara University, Pathology, Istanbul,
DOI: 10.5137/1019-5149.JTN.46861-24.2

Aim:Pediatric meningiomas are one of the rare intracranial pathologies. There are differences between pediatric and adult-type meningiomas. This study aims to report a series of pediatric intracranial meningiomas operated in our institution and compare their features with the literature.Material and Methods:Using our hospital\'s automation system, patients under the age of 18 that we operated on in the last 11 years were identified. Then, the features of these patients were collected and compared with the literature.Results:The mean age was 7.9 years old. Of the 10 patients, 8 (80%) were males, 2 were females (20%). The most common symptoms were cranial nerve palsies. When all MR and CT images were evaluated, peritumoral edema was observed in 6 of the patients (60%), dural tail in 7 patients (70%), bone destruction in 3 patients (30%), intratumoral calcification in 2 patients (20%). The histopathological diagnosis was made according to the World Health Organization classification (2021) into grades 1, 2, and 3. Three patients (30%) had a typical meningioma (grade 1), and 7 patients (70%) had an atypical type (grade 2). Recurrence occurred in one of four patients with residual. Conclusion:Subtle and careful surgical approaches are the main stem of treatment and postoperative prognosis for pediatric meningiomas. Contrary to previous studies, the association of meningiomas with radiation exposure and NF is not common in our series. Research is needed to understand the reasons for the differences between the pathophysiology of pediatric meningiomas and adults so the treatment could be more successful.

Corresponding author : Eldaniz Mammadli