Intraventricular meningioma

Case contributed by Lemuel Marquez Narcise
Diagnosis almost certain

Presentation

Pediatric patient presenting with headache. The patient is afebrile and does not have any other neurologic or visual deficits.

Patient Data

Age: 10 years
Gender: Female
mri

Selected MRI sequences show a well-defined round mass centered within the trigone of the left lateral ventricle.  The mass is isointense to gray matter on T1 and T2-weighted images, and exhibits homogeneous enhancement.  Perilesional white matter edema and obstructive hydrocephalus are seen.

Case Discussion

Meningioma is the most common extra-axial neoplasm of adults and accounts for 15% of all intracranial neoplasms.  It is second to gliomas in overall prevalence.  Meningiomas are most frequently seen in convexity and parasagittal locations.  In children, the most common site is the ventricles.

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