Imaging features of pediatric meningiomas: emphasis on unusual locations.

Autor: Shi Q; Deparment of Radiology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China., Tian J; Deparment of Radiology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China., Zhou T; Deparment of Radiology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China., Tan N; Department of Pathology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China., Zhang T; Deparment of Radiology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China., Chen X; Deparment of Radiology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China. chenxiaoxi_zmc@163.com.
Jazyk: angličtina
Zdroj: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2024 Dec; Vol. 40 (12), pp. 3933-3942. Date of Electronic Publication: 2024 Jul 10.
DOI: 10.1007/s00381-024-06525-2
Abstrakt: Purpose: This article aims to analyze pediatric meningioma's imaging characteristics, especially those in unusual locations.
Methods: Pediatric patients with pathologically confirmed meningiomas at our hospital from January 2010 to January 2024 were enrolled. Meningiomas located in the cerebral convexity, parasagittal falcine region, anterior skull base, middle skull base, sphenoid ridge, cerebellopontine angle (CPA), olfactory groove, or juxtasella were considered in usual locations. Meningiomas found in other areas were considered in unusual locations. Clinical information, pathology results, and imaging features of pediatric meningiomas in usual and usual locations were analyzed and compared.
Results: A total of 18 patients (19 meningiomas) were enrolled, including 14 males and 4 females, with an average age of 14 years (ranging from 6 to 18 years). A total of 12 (63.2%) meningiomas were in the unusual location, including four (33.3%) were intraparenchymal, four (33.3%) were intraventricular, two (16.7%) were intraosseous, one (8.3%) case was in the paranasal sinus, and one (8.3%) was intraspinal. The meningiomas in unusual locations usually lacked the meningeal tail sign, and the misdiagnosis rate on preoperative imaging was significantly higher than that of meningiomas in usual locations.
Conclusion: Pediatric meningiomas are prone to occur in unusual locations. When they occur in usual locations, they often lack typical radiographic features of meningiomas, leading to potential misdiagnosis before surgery. Recognition of the imaging characteristics of meningiomas in unusual locations in children may facilitate accurate preoperative imaging diagnosis.
Competing Interests: Declarations. Conflict of interest: The authors declare no competing interests.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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