A Rare Case Report of Atypical Meningioma in a 7 Year Old Male Child

Dr. Razin Shaikhjiwala

Abstract: Background: Meningioma are tumors arising from the meninges. They occur intracranially or within spinal canal. Paediatric meninagiomas are relatively rare and comprise of Atypical and Anaplastic variety. They also show an association with neurofibromatosis type 2 and previous radiation exposure. Clinical Description: We present a case of Atypical Meningioma which was detected in 7 year old male child who presented with Bilateral Progressive painless loss of vision and Headache. Patient also had lost bowel and bladder control, and behavioural abnormalities. On MRI brain child was diagnosed with Atypical Meningioma. Management: Meninagioma management includes Medical and Surgical modalities. Medically stabilization of patient and Reduce the intracranial agents, Chemotherapy and Radiotherapy play roles. While neurosurgery and resection of Tumor remain the most crucial step. Our patient was treated conservatively and referred to a higher Centre for specifc neurosurgery. Conclusion: Meningioma can be diagnosed if history, physical exam and brain imaging is highly suspicious. Histopathological examination remains the gold standard after the tumor resection to diagnose Meaningiomas which reveal whorling pattern.

Keywords: Atypical meningioma, pediatric brain tumor, neurofibromatosis type 2, vision loss in children, intracranial tumor management