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Paediatric meningeal tumours

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Abstract

We review our experience of meningeal tumours in patients under 16 years who were treated between 1957 and 1993. These were 16 with meningiomas (median age 12 years) and 5 with poorly differentiated malignant meningeal tumours (median age 3 years). The incidence of meningeal tumours in this period was 1.62% of all CNS tumours. There were 19 supratentorial tumours (5 intraventricular), 1 tentorial and 1 cervical. Surgical excision was complete in 12 patients and incomplete in 6; in 2 patients a biopsy only was undertaken. The remaining patient had radiological diagnosis only. All 5 patients in the group with malignant poorly differentiated tumours died (median survival 5 months), confirming the aggressive nature of these lesions. Of the 16 patients with meningiomas, 4 died during follow-up but 11 of the 12 meningioma patients remaining alive had complete resections. There is a strong tendency for paediatric meningeal tumours to have a supratentorial origin and intraventricular location. The female preponderance found in adults is not evident in children. Incomplete surgical excision or focal neurological deficit at presentation was associated with poor outcome.

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Author notes

  1. C. L. Mallucci

    Present address: Department of Neurosurgery, University Hospital, Queen's Medical Centre, NG7 2UH, Nottingham, UK

Authors and Affiliations

  1. Department of Neurosurgery, Birmingham Children's Hospital, Birmingham, UK

    C. L. Mallucci, A. R. Walsh & A. D. Hockley

  2. West Midland Regional Tumour Research Group, Birmingham Children's Hospital, Birmingham, UK

    S. E. Parkes & J. Powell

  3. Department of Pathology, Queen Elizabeth Medical Centre, Birmingham, UK

    P. Barber

  4. Department of Oncology, Birmingham Children's Hospital, Birmingham, UK

    M. C. G. Stevens

Authors
  1. C. L. Mallucci
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  2. S. E. Parkes
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  3. P. Barber
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  4. J. Powell
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  5. M. C. G. Stevens
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  6. A. R. Walsh
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  7. A. D. Hockley
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Mallucci, C.L., Parkes, S.E., Barber, P. et al. Paediatric meningeal tumours. Child's Nerv Syst 12, 582–588 (1996). https://doi.org/10.1007/BF00261651

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  • DOI: https://doi.org/10.1007/BF00261651

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