Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2024; 19(02): 338-341
DOI: 10.1055/s-0044-1787533
Case Report

Cavernous Sinus Meningioma of the Oculomotor Nerve in a Child: A Surgical Case Study

Gakuji Maruyama
1   Department of Neurosurgery, Hamamatsu University School of Medicine, Hamamatsu, Japan
,
Tetsuro Sameshima
1   Department of Neurosurgery, Hamamatsu University School of Medicine, Hamamatsu, Japan
,
Takashi Tsuchida
2   Department of Pathology, Hamamatsu University School of Medicine, Hamamatsu, Japan
,
Kazuhiko Kurozumi 
1   Department of Neurosurgery, Hamamatsu University School of Medicine, Hamamatsu, Japan
› Author Affiliations Funding None.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Pediatric cavernous sinus meningiomas are rare. Herein, we present the case of a 5-year-old boy who presented with progressive left oculomotor nerve palsy. A head magnetic resonance imaging revealed a mass lesion in the left cavernous sinus, following which tumor resection was performed. The tumor strongly adhered to the left oculomotor nerve without adherence to the walls of the cavernous sinus; however, its border with the nerve was unclear. Histopathological analysis led to the diagnosis of fibrous meningioma. To the best of our knowledge, this is the first case study to report the pediatric development of a cavernous sinus meningioma in the oculomotor nerve.

Keywords

cavernous sinus - meningioma - neurosurgery - oculomotor nerve - pediatrics

Authors' Contributions

G.M. drafted the original article. T.S. critically revised the article and a surgeon for this case. T.T. acquired the clinical data. K.K. supervised drafting the article. All authors have read and approved the final manuscript.


Patients' Consent

Written informed consent was obtained from the patient for publication of this case report and accompanying images.




Publication History

Article published online:
05 June 2024

© 2024. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Gao X, Zhang R, Mao Y, Wang Y. Childhood and juvenile meningiomas. Childs Nerv Syst 2009; 25 (12) 1571-1580
    CrossrefPubMedGoogle Scholar
  • 2 Kotecha RS, Pascoe EM, Rushing EJ. et al. Meningiomas in children and adolescents: a meta-analysis of individual patient data. Lancet Oncol 2011; 12: 1229-1239
    CrossrefPubMedGoogle Scholar
  • 3 Ersahin Y, Ozdamar N, Demirtaş E, Karabiyikoğlu M. Meningioma of the cavernous sinus in a child. Childs Nerv Syst 1999; 15: 8-10
    CrossrefPubMedGoogle Scholar
  • 4 Kuratsu J, Okamura A, Kamiryo T, Ushio Y. A pediatric patient with meningioma arising from the cavernous sinus wall. Acta Neurochir (Wien) 1997; 139: 259-260
    CrossrefPubMedGoogle Scholar
  • 5 Louis M, Goga D, François P, Laure B. Ptosis secondary to cavernous sinus meningioma. J Fr Ophtalmol 2013; 36: e197-e200
    CrossrefPubMedGoogle Scholar
  • 6 Sharifi G, Lotfinia M, Omidbeigi M, Asaadi S, Zerehpoosh FB. Meningothelial meningioma of the oculomotor nerve: a case report and review of the literature. Surg Neurol Int 2020; 11: 314
    CrossrefPubMedGoogle Scholar
  • 7 Hart AJ, Allibone J, Casey A, Thomas D. Malignant meningioma of the oculomotor nerve without dural attachment. J Neurosurg 1998; 88: 1104-1106
    CrossrefPubMedGoogle Scholar
  • 8 Fujimoto Y, Kato A, Taniguchi M, Maruno M, Yoshimine T. Meningioma arising from the trigeminal nerve: a case report and literature review. J Neurooncol 2004; 68: 185-187
    CrossrefPubMedGoogle Scholar
  • 9 Mohri M, Yamano J, Saito K, Nakada M. Spinal accessory nerve meningioma at the foramen magnum with medullar compression: a case report and literature review. World Neurosurg 2019; 289: 158-161
    CrossrefPubMedGoogle Scholar
  • 10 Geoffray A, Lee YY, Jing BS, Wallace S. Extracranial meningiomas of the head and neck. AJNR Am J Neuroradiol 1984; 5: 599-604
    PubMedGoogle Scholar
  • 11 Lopez DA, Silvers DN, Helwig EB. Cutaneous meningiomas – a clinicopathological study. Cancer 1974; 34: 728-744
    CrossrefPubMedGoogle Scholar
  • 12 Tomaru U, Hasegawa T, Hasegawa F, Kito M, Hirose T, Shimoda T. Primary extracranial meningioma of the foot: a case report. Jpn J Clin Oncol 2000; 30: 313-317
    CrossrefPubMedGoogle Scholar