Pediatric parasagittal meningioma, case report

Main Article Content

Livia Araceli Noriega-Silva https://orcid.org/0009-0005-7684-9769
José Luis Bañales-Vázquez https://orcid.org/0009-0008-5373-184X
Luis David López-Baltazar https://orcid.org/0009-0005-3101-731X

Keywords

Meningioma, Pediatrics, Craniotomy, Migraine

Abstract

ntrast-enhanced magnetic resonance imaging, which revealed an extra-axial interhemispheric parasagittal lesion consistent with meningioma. A bilateral frontal craniotomy with complete resection was performed. In the immediate postoperative period, the patient developed a transient motor deficit and persistent bilateral temporal visual field loss. Histopathological analysis confirmed a WHO grade I meningioma.


Conclusion: This case highlights the importance of considering intracranial structural processes in adolescents with progressive neurological symptoms and reinforces that complete surgical resection remains the cornerstone of treatment and the main determinant of functional prognosis.

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References

1. Kirches E, Sahm F, Korshunov A, et al. Molecular profiling of pediatric meningiomas shows tumor characteristics distinct from adult meningiomas. Acta Neuropathol. 2021;142(5):873-886. doi: 10.1007/s00401-021-02351-x

2. Liu J, Zhao K, Wang J, et al. Clinical features and long-term outcomes of pediatric meningiomas. Childs Nerv Syst. 2021;37(10):3041-3047. doi: 10.1007/s00381-021-05296-4

3. Ostrom QT, Price M, Neff C, et al. CBTRUS Statistical Report: Primary Brain and Other Central Nervous System Tumors Diagnosed in the United States in 2016-2020. Neuro Oncol. 2023;25(12 Suppl 2):iv1-iv99. doi: 10.1093/neuonc/noad149.

4. Opoku I, Yang L, Sun P, et al. Pediatric Cerebral Meningioma: A Single-Center Study with 10 Children Not Associated with Neurofibromatosis Type 2 and Literature Review. Pediatr Neurosurg. 2022;57(6):422-433. doi: 10.1159/000526541

5. Tauziède-Espariat A, Pfister SM, Mawrin C, Sahm F. Pediatric meningiomas: A literature review and diagnostic update. Neurooncol Adv. 2023;5(Suppl 1):i105-i111. doi: 10.1093/noajnl/vdac165

6. He W, Liu Z, Teng H, et al. Pediatric meningiomas: 10-year experience with 39 patients. J Neurooncol. 2020;149(3):543-553. doi: 10.1007/s11060-020-03649-8

7. Ye E, Gupta A, Lyons AT, et al. Pediatric meningioma and seizures: A scoping review. Childs Nerv Syst. 2025;41(1):227. doi: 10.1007/s00381-025-06889-z

8. Huntoon K, Toland AMS, Dahiya S. Meningioma: A review of clinicopathological and molecular aspects. Front Oncol [Internet]. 2020;10:579599. Disponible en: http://dx.doi.org/10.3389/fonc.2020.579599

9. Louis DN, Perry A, Wesseling P, et al. The 2021 WHO classification of tumors of the Central Nervous System: A summary. Neuro Oncol. 2021;23(8):1231-51. doi: 10.1093/neuonc/noab106

10. Hanna C, Willman M, Cole D, et al. Review of meningioma diagnosis and management. Egypt J Neurosurg. 2023;38(16). Disponible en: https://doi.org/10.1186/s41984-023-00195-z

11. Toland A. Pediatric meningioma: a clinicopathologic and molecular study with potential grading implications. Brain Pathol. 2020;30(6):1134-1143. doi: 10.1111/bpa.12884.

12. El Beltagy MA, Enayet AE, Atteya MME, et al. Management of pediatric CNS meningiomas: CCHE-57357 experience in 39 cases. Childs Nerv Syst. 2019;35(8):1323-1331. doi: 10.1007/s00381-019-04156-6.

13. Wach J, Vychopen M, Basaran AE, et al. Overall survival and progression-free survival in pediatric meningiomas: a systematic review and individual patient-level meta-analysis. J Neurooncol. 2025;172(2):289-305. doi: 10.1007/s11060-024-04917-7

14. Mathiesen T. Parasagittal meningiomas. Handb Clin Neurol. 2020;170:93-100.

15. Ali AK, Elayoty AED, Elserry TH, et al. Visual outcome predictors after surgical excision of meningiomas compressing the optochiasmatic complex. Egypt J Neurosurg. 2020;35(1):17. doi: 10.1186/s41984-020-00088-5

16. Boublata L. Visual Prognostic Factors in Surgery of Tubercule Sellae Meningiomas. Neurosurgery Cases and Reviews. 2025;8(1):169. doi: 10.23937/2643-4474/1710169

17. Zheng X, Guo S, Liu D, et al. Pediatric meningioma with a Novel MAML2-YAP1 fusion variant: a case report and literature review. BMC Pediatr. 2022;22(1):694. doi: 10.1186/s12887-022-03747-8

18. Hafiz BE, Sukkar F, Alsayegh FF, et al. Huge Atypical Meningioma in a 21-Month-Old Girl: A Case Report. Cureus. 2024;16(10):e71962. doi: 10.7759/cureus.71962

19. Takata S, Tamase A, Hayashi Y, et al. Pediatric meningioma with rhabdoid features developed at the site of skull fracture: illustrative case. J Neurosurg Case Lessons. 2021;2(14):CASE21107. doi: 10.3171/CASE21107

20. Guo H, Liang H, Wang J, et al. Giant Intraparenchymal Meningioma in a Female Child: Case Report and Literature Review. Cancer Manag Res. 2021;13:1989-1997. doi: 10.2147/CMAR.S294224