Intraparenchymal Atypical Meningioma in Basal Ganglia Region in a Child: Case Report and Literature Review
10.3340/jkns.2015.0609.001
- Author:
Xiaowei LIU
1
;
Yuekang ZHANG
;
Si ZHANG
;
Chuanyuan TAO
;
Yan JU
Author Information
1. Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu City, Sichuan Province, China. 1229013105@qq.com
- Publication Type:Case Report
- Keywords:
Intraparenchymal meningioma;
Basal ganglia;
Atypical meningioma
- MeSH:
Anterior Cerebral Artery;
Basal Ganglia;
Child;
Diagnosis, Differential;
Extremities;
Headache;
Humans;
Magnetic Resonance Imaging;
Male;
Meningioma;
Neurologic Examination;
Paresis;
Radiotherapy;
Rehabilitation;
Vomiting
- From:Journal of Korean Neurosurgical Society
2018;61(1):120-126
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intraparenchymal meningiomas without dural attachment are extremely rare, especially when they occur in basal ganglia region in child. An 8-year-old boy was admitted at our hospital, complaining of recurrent headache and vomiting for 3 months. Neurological examination showed impaired vision and mild paresis of the left extremities. Magnetic resonance imaging demonstrated a lesion located in the right basal ganglia region extending to superasellar cistern with solid, multiple cystic and necrotic components. Computed tomography revealed calcification within the mass. Due to the anterior cerebral artery involvement, a subtotal resection was achieved and postoperative radiotherapy was recommended. Histopathological examination indicated that the lesion was an atypical meningioma. The postoperative rehabilitation was uneventful. Mildly impaired vision and motor weakness of left extremities improved significantly and the patient returned to normal life after surgery. To our knowledge, intraparenchymal atypical meningioma in basal ganglia extending to superasellar cistern was never reported. The significance in differential diagnosis of lesions in basal ganglia should be emphasized.
