Rare Case of Young Patient with Intraventricular Angiomatous Meningioma

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

doi:10.34257/GJMRAVOL21IS3PG19

Rare Case of Young Patient with Intraventricular Angiomatous Meningioma

Gabriel Carvalho Heemann *

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Vinicius Rosa de Castro

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Normando Guedes Pereira Neto

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Camila Bocchi

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Otavio Garcia Martins

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Rafael Silva Paglioli

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Ricardo Chmelnistky Wainberg

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Rare Case of Young Patient with Intraventricular Angiomatous Meningioma

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MR58WV8

DOI
10.34257/GJMRAVOL21IS3PG19

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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.

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No external funding was declared for this work.

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The authors declare no conflict of interest.

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How to Cite This Article

Gabriel Carvalho Heemann, Vinicius Rosa de Castro, Normando Guedes Pereira Neto, Camila Bocchi, Otavio Garcia Martins, Rafael Silva Paglioli, Ricardo Chmelnistky Wainberg. 2021. "Rare Case of Young Patient with Intraventricular Angiomatous Meningioma". Global Journal of Medical Research - A: Neurology & Nervous System GJMR-A Volume 21 (GJMR Volume 21 Issue A3).

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GJMR Volume 21 Issue A3

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Journal Specifications

Crossref Journal DOI 10.17406/gjmr

Print ISSN 0975-5888

e-ISSN 2249-4618

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GJMR-A Classification NLMC Code: WL 140

Submission ReceivedJune 12, 2021
Peer Review Double Blind
Handling Editor
Accepted June 30, 2021
Published July 15, 2021

Version of record

v1.2

Issue date

July 31, 2021

Language

English

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