Child's Nervous System

, Volume 21, Issue 4, pp 322–326

Uncommon case of a cystic papillary meningioma in an adolescent

Case Report

DOI: 10.1007/s00381-004-1017-0

Cite this article as:
Buschmann, U., Gers, B. & Hildebrandt, G. Childs Nerv Syst (2005) 21: 322. doi:10.1007/s00381-004-1017-0



Meningiomas, especially papillary meningiomas, are rare tumours in childhood and adolescence. They are histologically classified as atypical.

Case report

We present a 15-year-old girl with a cystic papillary meningioma extending from the infratentorial to the supratentorial region extracranially. After a two-stage gross total resection combined with fractionated radiotherapy of a small residual tumour in the infratemporal fossa, the clinical course was stable for at least 4 years. Then a new infratentorial cystic papillary meningioma with a histological change in tumour malignancy was recognised within only 1 year.


Besides the rare histology of a cystic papillary meningioma in an adolescent, the case is remarkable due to the considerable extent of the tumour and the irregular course with rapid regrowth and change into malignancy after an initially stable and benign course. For a comparison, the current literature is reviewed and discussed with regard to sex and age distribution, histopathological features, clinical course and therapeutical options.


Children Cerebral tumours Radiotherapy Cranial nerve palsy Malignant meningioma Cerebellopontine angle 

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Ute Buschmann
    • 1
  • Bettina Gers
    • 1
  • Gerhard Hildebrandt
    • 1
  1. 1.Department of NeurosurgeryKantonsspital St. Gallen (KSSG)St. GallenSwitzerland

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