Article

Intracranial meningiomas in childhood

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Abstract

Intracranial meningiomas in children are rare. In the 15 series reviewed by Mendiratta et al,1 which included 2,620 intracranial tumors in childhood, meningiomas accounted for 1.5%. The incidence of meningiomas in adult intracranial tumors varies from 10% to 15%. From 1960 through 1973, seven children with intracranial meningiomas were seen in the Department of Neurological Surgery at the Cleveland Clinic. These patients, all of whom underwent surgery, form the basis for this paper. The series included five girls and two boys; other reported series do not show this sex predilection. At the time of diagnosis their ages ranged from 7 to 14 years (average, 11 years). Childhood, in this series, is defined as 16 years of age and younger.

Symptoms

Headache was an initial symptom in three patients. This corroborated the findings of Crouse and Berg,2 in which headache was the initial symptom in 11 of 13 patients. Seizures occurred in four of the seven patients and were manifested by “drop attacks,” periods of “absence,” generalized tonic-clonic convulsions, and focal motor episodes. Gradual hemiparesis occurred in two patients. Three patients complained of double vision. The duration of the various symptoms ranged from several weeks to 6 years.

Physical findings

Neurological examination revealed mild confusion and disorientation in three patients. Two patients had papilledema and one had monocular blindness. Deficits in visual fields were present in two; central type facial weakness occurred in three; spastic hemiparesis was present in two patients.

Roentgenography

Skull roentgenograms showed abnormalities in all seven patients. In. . .


 

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