Rare Case of Young Patient with Intraventricular Angiomatous Meningioma

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Gabriel Carvalho Heemann
Gabriel Carvalho Heemann
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Vinicius Rosa de Castro
Vinicius Rosa de Castro
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Normando Guedes Pereira Neto
Normando Guedes Pereira Neto
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Camila Bocchi
Camila Bocchi
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Otavio Garcia Martins
Otavio Garcia Martins
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Rafael Silva Paglioli
Rafael Silva Paglioli
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Ricardo Chmelnistky Wainberg
Ricardo Chmelnistky Wainberg

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Rare Case of Young Patient with Intraventricular Angiomatous Meningioma

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Abstract

Pediatric meningiomas are rare and account for only 2.2% of CNS tumors. In this age group, they are more frequently located in atypical sites, such as, mainly, the ventricular system, with a frequency of 8.8 to 13.6%. Adding this to the fact that the angiomatous subtype constitutes only 2.1% of all meningiomas, the rarity of the case reported here i s corroborated. We report a 17-year-old female patient diagnosed with intraventricular angiomatous meningioma; she underwent surgical resection of the tumor in the body and frontal horn of the right lateral ventricle, and there was no neurological sequela. With a follow-up of 4 years, there was no recurrence and the patient had clinical stability. Intraventricular tumors usually have slow growth and reach considerable size until they cause symptoms and then are diagnosed. In addition, the tumor’s deep location and proximity to eloquent areas make such tumors an neurosurgical challenge. The angiomatous subtype, due to the presence of hyper vascularization (consisting of more than 50% of vascular components), may, in some cases, hinder surgical resection as well as be erroneously diagnosed. However, surgical treatment aimed at total resection of the lesion remains the conduct of choice in the case reported here, especially in patients in the first two decades of life, in which the use of radiation is avoided. Specifically when it comes to the surgery, we chose a transcallosal approach that allows a good transoperative visualization of the lesion when located in the body and frontal horn of the lateral ventricle.

References

37 Cites in Article
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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Gabriel Carvalho Heemann. 2021. \u201cRare Case of Young Patient with Intraventricular Angiomatous Meningioma\u201d. Global Journal of Medical Research - A: Neurology & Nervous System GJMR-A Volume 21 (GJMR Volume 21 Issue A3): .

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Alt: Young patient with brain tumor diagnosed with intraventricular angiomatosis meningioma.
Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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GJMR-A Classification: NLMC Code: WL 140
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v1.2

Issue date

July 31, 2021

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en
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Pediatric meningiomas are rare and account for only 2.2% of CNS tumors. In this age group, they are more frequently located in atypical sites, such as, mainly, the ventricular system, with a frequency of 8.8 to 13.6%. Adding this to the fact that the angiomatous subtype constitutes only 2.1% of all meningiomas, the rarity of the case reported here i s corroborated. We report a 17-year-old female patient diagnosed with intraventricular angiomatous meningioma; she underwent surgical resection of the tumor in the body and frontal horn of the right lateral ventricle, and there was no neurological sequela. With a follow-up of 4 years, there was no recurrence and the patient had clinical stability. Intraventricular tumors usually have slow growth and reach considerable size until they cause symptoms and then are diagnosed. In addition, the tumor’s deep location and proximity to eloquent areas make such tumors an neurosurgical challenge. The angiomatous subtype, due to the presence of hyper vascularization (consisting of more than 50% of vascular components), may, in some cases, hinder surgical resection as well as be erroneously diagnosed. However, surgical treatment aimed at total resection of the lesion remains the conduct of choice in the case reported here, especially in patients in the first two decades of life, in which the use of radiation is avoided. Specifically when it comes to the surgery, we chose a transcallosal approach that allows a good transoperative visualization of the lesion when located in the body and frontal horn of the lateral ventricle.

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Rare Case of Young Patient with Intraventricular Angiomatous Meningioma

Gabriel Carvalho Heemann
Gabriel Carvalho Heemann
Vinicius Rosa de Castro
Vinicius Rosa de Castro
Normando Guedes Pereira Neto
Normando Guedes Pereira Neto
Camila Bocchi
Camila Bocchi
Otavio Garcia Martins
Otavio Garcia Martins
Rafael Silva Paglioli
Rafael Silva Paglioli
Ricardo Chmelnistky Wainberg
Ricardo Chmelnistky Wainberg

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