Evaluación clínica de meningioma intraventricular: reporte de caso paciente pediátrico y paciente adulto.

  • Andres Mauricio Álvarez Pinzón Departamento de terapia neural universidad de Barcelona, España
Palabras clave: Meningioma intraventricular (IVM), pediatría, meningioma, quimioterapia, radiocirugía, radioterapia, resonancia magnética.

Resumen

Los Meningiomas intraventriculares (IVM) representan el 0,5-5% de todos los meningiomas, de los cuales aproximadamente un 80% se localizan en el trígono del ventrículo lateral. Se originan en los ventrículos del tope células aracnoideas contenidos en el plexo coroideo constituyen el grupo tumoral intracraneal frecuente en adultos. En la mayor parte de los casos, se trata de tumores histológicamente benignos, de crecimiento lento. Los meningiomas primarios intraventriculares   suponen   entre   el   0,5   y   el   3% de   los   meningiomas intracraneales. No son comunes en población pediátrica ya que   comprenden menos del 3% de los tumores cerebrales pediátricos y sólo 1.5 a 1.8% de todas las neoplasias intracraneales. Los tumores pediátricos también muestran una asociación con neurofibromatosis tipo 2 y la exposición anterior a radiación.

Se presenta el contraste de dos   casos de meningioma intraventriculares en paciente pediátrico y adulto. La edad y el sitio de la lesión en paciente pediátrico es poco común. La escisión de la lesión y tratamiento pronto permitió la cesación de los síntomas en los 2 pacientes

Biografía del autor/a

Andres Mauricio Álvarez Pinzón, Departamento de terapia neural universidad de Barcelona, España

Medico Cirujano, Magister en Bioetica e Investigación Clinica ,
Clinical Research Fellow Departamento Ortopedia -Neurocirugia
Biotechnology department, Jhons Hopkins university
Departmento de Neurociencias, universidad Salamanca
Departamento de terapia neural universidad de Barcelona, España.

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Biografía del autor/a

Andres Mauricio Álvarez Pinzón, Departamento de terapia neural universidad de Barcelona, España

Medico Cirujano, Magister en Bioetica e Investigación Clinica ,
Clinical Research Fellow Departamento Ortopedia -Neurocirugia
Biotechnology department, Jhons Hopkins university
Departmento de Neurociencias, universidad Salamanca
Departamento de terapia neural universidad de Barcelona, España.

Referencias bibliográficas

Maranhão-Filho P, João Campos CS, Lima MA. Intracranial meningiomas in children: Ten-year experience. Pediatr Neurol. 2008; 39:415–417. https://doi.org/10.1016/j.pediatrneurol.2008.08.004

Bhatoe HS, Singh P, Dutta V. Intraventricular meningiomas: A clinicopathological study and review. Neurosurgical Focus. 2006;20(3): E9.

Qin Y, Kanasaki Y, Takasugi M, Shinohara Y, Kaminou T, Kurosaki M, Ogawa T. Primary fourth ventricular meningioma: a case report of an adult male. Clin Imaging. 2012 Jul-Aug;36(4):379-82

Tung H, Apuzzo MLJ. In: Meningiomas. Al-Mefty O, editor. New York: Raven Press; 1991. Meningiomas of the third ventric; pp. 583–591.

Guidetti B, Delfini R. In: Meningiomas. Al-Mefty O, editor. New York: Raven Press; 1991. Lateral and fourth ventricle meningiomas; pp. 569–587.

Arivazhagan A, Devi BI, Kolluri SV, Abraham RG, Sampath S, Chandramouli BA. Pediatric intracranial meningiomas--do they differ from their counterparts in adults? Pediatric Neurosurg. 2008; 44:43–48.

Cushing H, Eisenhardt L. Springfield,IL: Charles C Thomas; Meningiomas. Their classification, regional behavior, life history and surgical end results. pp. 139–149.

Tew JM, Larson JJ., JrIn: Operative Neurosurgery. Kaye AH, Black PML, editors. London: Churchill Livingstone: 2000. Intraventricular meningiomas; pp. 575–585.

Bhatoe HS, Gill HS, Sreeram MN. Densely calcified lateral ventricular meningioma. Ind J Radiol Imaging. 1994; 4:117–118.

Erman T, Göcer AL, Erdogan E. Intraventricular meningiomas: a review and report of eight cases. Neurosurg Quarterly. 2004; 14:154–160. https://doi.org/10.1097/01.wnq.0000135754.99662.78

Lapras C, Deruty R, Bret PH. Tumors of the lateral ventricles. Adv Tech Stand Neurosurg. 1984;11:103–167. https://doi.org/10.1007/978-3-7091-7015-1_5

Nakamura M, Roser F, Bundschuh O, Vorkapic P, Samii M. Intraventricular meningiomas: a review of 16 cases with reference to the literature. Surg Neurol. 2003; 59:491–504. https://doi.org/10.1016/S0090-3019(03)00082-X

Rushing EJ, Olsen C, Mena H, Rueda ME, Lee YS, Keating RF, Packer RJ, Santi M. Central nervous system meningiomas in the first two decades of life: a clinicopathological analysis of 87 patients. J Neurosurg. 2005; 103:489–495. https://doi.org/10.3171/ped.2005.103.6.0489

McDermott MW. Intraventricular meningiomas. Neurosurg Clin N Am. 2003;14:559–569. https://doi.org/10.1016/S1042-3680(03)00055-X

Kornienko VN, Pronin IN. Tumors of meninges. In: Diagnostic neuroradiology. Berlin, Heidelberg: Springer; 2009;p. 617–805 Bertalanffy A, Roessler K, Koperek O, Gelpi E, Prayer D, Neuner M, et al. Intraventricular meningiomas: a report of 16 cases. Neurosurg Rev.2006;29:30–35

Pichierri A, Ruggeri A, Morselli C, Delfini R. Fourth ventricle meningiomas: a rare entity. Br Neurosurgery. 2011; 25:454–458 https://doi.org/10.3109/02688697.2011.555019

Alver I, Abuzayed B, Kafadar AM, Muhammedrezai S, Sanus GZ, Akar ZI. Primary fourth ventricular meningioma: case report and review of the literature. Turk Neurosurg. 2011; 21:249–253 Osborn AG. Brain tumors and tumorlike masses: classification and differential diagnosis. In: Diagnostic neuroradiology. St. Louis: Mosby; 1994; p. 401–670

Elster AD, Challa VR, Contento JC, Elster AD, Challa VR, Gilbert TH, et al.Meningiomas.MR and histopathologic features. Radiology. 1989;170:857–862 https://doi.org/10.1148/radiology.170.3.2916043

Akimoto J, Sato Y, Tsutsumi M, Haraoka J. Fourth ventricular meningioma in an adult-case report. Neurol Med Chir (Tokyo).2001;41:402–405 https://doi.org/10.2176/nmc.41.402

Quadery FA, Okamoto K. Diffusion-weighted MRI of haemangioblastomas and other cerebellar tumours. Neuroradiology. 2003; 45:212–219 https://doi.org/10.1007/s00234-003-0951-y

Kornienko VN, Pronin IN. Infratentorial tumours. In: Diagnostic neuroradiology. Berlin, Heidelberg: Springer; 2009; p. 617–718

Yamasaki F, Kurisu K, Satoh K, Arita K, Sugiyama K, Ohtaki M, et al. Apparent diffusion coefficient of human brain tumors at MR imaging. Radiology. 2005; 235:985–991 https://doi.org/10.1148/radiol.2353031338

Hakyemez B, Yildirim N, Gokalp G, Erdogan C, Parlak M. The contribution of diffusion-weighted MR imaging to distinguishing typical from atypical meningiomas. Neuroradiology. 2006; 48:512–520 https://doi.org/10.1007/s00234-006-0094-z

Server A, Kulle B, Maehlen J, Josefsen R, Schellhorn T, Kumar T, et al. Quantitative apparent diffusion coefficients in the characterization of brain tumors and associated peritumoral edema. Acta Radiol. 2009; 50:682–689 https://doi.org/10.1080/02841850902933123

Domingues P, Teodósio C, Ortiz J, Sousa P, Otero A, Maillo A, Bárcena P, García-Macias MC, Lopes MC, de Oliveira C, Orfao A, Tabernero MD. Immunophenotypic Identification and Characterization of Tumor Cells and Infiltrating Cell Populations in Meningiomas. Am J Pathol. 2012 https://doi.org/10.1016/j.ajpath.2012.07.033

Samii M, Gerganov V, Giordano M, Samii A. Two step approach for surgical removal of petroclival meningiomas with large supratentorial extension. Neurosurg Rev 2011; 34: 173-9. https://doi.org/10.1007/s10143-010-0299-9

García-Navarrete E, Sola RG. Aspectos clínicos y quirúrgicos de los meningiomas de la base del cráneo. III. Meningiomas de la fosa posterior. Rev Neurol 2002; 34: 714-23.

De Divittis E, Esposito F, Cappabianca P, Cavallo LM, De Divittis O, Esposito I. Endoscopic transnasal resection of anterior cranial fossa meningiomas. Neurosurg Focus 2008; 25: e8. https://doi.org/10.3171/FOC.2008.25.12.E8

Ganz JC, Reda WA, Abdelkarim K. Gamma knife surgery of large meningiomas: early response to treatment. Acta Neurochirur (Wien) 2009; 151: 1-8. https://doi.org/10.1007/s00701-008-0166-4

Kondziolka D, Mathieu D, Lunsford LD, Martin JJ, Madhok R, Niranjan A, et al. Radiosurgery as definitive management of intracranial meningiomas. Neurosurgery 2008; 62: 53-8. https://doi.org/10.1227/01.NEU.0000311061.72626.0D

Halasz LM, Bussière MR, Dennis ER, Niemierko A, Chapman PH, Loeffler JS, et al. Proton stereotactic radiosurgery for the treatment of benign meningiomas. Int J Radiat Oncol Biol Phys 2010.

Adler JR Jr, Gibbs IC, Puataweepong P, Chang SD. Visual field preservation after multisession cyberknife radiosurgery for perioptic lesions. Neurosurgery 2006; 59: 244-54. https://doi.org/10.1227/01.NEU.0000223512.09115.3E

Milker-Zabel S, Zabel-Du Bois A, Huber P, Schlegel W, Debus J.Intensity-modulated radiotherapy for complex-shaped meningioma of the Skull base: long-term experience of a single institution. Int J Radiat Oncol Biol Phys 2007; 68: 858-63. https://doi.org/10.1016/j.ijrobp.2006.12.073

Clark BG, Candish C, Vollans E, Gete E, Lee R, Martin M, et al. Optimization of stereotactic radiotherapy treatment delivery technique for a base-of-skull meningioma's. Med Dosim 2008; 33: 239-47. https://doi.org/10.1016/j.meddos.2008.03.003

Tena-Suck ML, Collado-Ortiz MA, Salinas-Lara C, García-López R, Gelista N, Rembao-Bojorquez D. Chordoid meningioma: a report of ten cases. J Neurooncol 2010; 99 (1): 41-8. https://doi.org/10.1007/s11060-009-0097-9

Deb P, Sahani H, Bhatoe HS, Srinivas V. Intraventricular cystic meningioma. J Cancer Res Ther 2010; 6 (2): 218-20. https://doi.org/10.4103/0973-1482.65247

Gelabert-González M, García-Allut A, BandinDieguez J, Serramito- García R, Martínez-Rumbo R. Meningiomas of the lateral ventricles. A review of 10 cases. Neurocirugia (Astur). 2008; 19 (5): 427-33. https://doi.org/10.1016/S1130-1473(08)70209-4

Li XZ, Zhao JZ. Operation of lateral ventricular meningiomas of the trigone. Zhonghua Yi Xue Za Zhi 2006; 86 (33): 2321-3.

Nayar VV, DeMonte F, Yoshor D, Blacklock JB, Sawaya R. Surgical approaches to meningiomas of the lateral ventricles. Clin Neurol Neurosurg 2010; 112 (5): 400-5. https://doi.org/10.1016/j.clineuro.2010.02.005

Mahore A, Chagla A, Goel A. Seeding metastases of a benign intraventricular meningioma along the surgical track. J Clin Neuroscienc 2010; 17 (2): 253-5. https://doi.org/10.1016/j.jocn.2009.05.025

Eriks Lusis, David H Gutmann. Meningioma: an update. Current Opinion in Neurology 2004; 17: 687-692. https://doi.org/10.1097/00019052-200412000-00008

Perry A, Scheithauer BW, Stafford SL, Abell-Aleff PC, Meyer FB."Rhabdoid" meningioma: an aggressive variant. Am J Surg Pathol 1998; 22: 1482–90. https://doi.org/10.1097/00000478-199812000-00005

Fuller CE, Pfeifer J, Humphrey P, Bruch LA, Dehner LP, Perry A.Chromosome 22q dosage in composite exrarenal rhabdoid tumors: clonal evolution or a phenotypic mimic? Hum Pathol 2001; 32: 1102–08. https://doi.org/10.1053/hupa.2001.28252

Sadetzki S, Flint-Richter P, Ben-Tal T, Nass D. Radiation-induced meningiomas: a descriptive study of 253 cases. J Neurosurg 2002; 97:1078–82. https://doi.org/10.3171/jns.2002.97.5.1078

Phillips LE, Koepsell TD, van Belle G, Kukull WA, Gehrels JA, Longstreth WT Jr. History of head trauma and risk of intracranial meningioma: population based case control study. Neurology 2002; 58: 1849–52. https://doi.org/10.1212/WNL.58.12.1849

Bhatia S, Sather HN, Pabustan OB, Trigg ME, Gaynon PS, Robison LL. Low incidence of second neoplasms among children diagnosed with acute lymphoblastic leukemia after 1983. Blood 2002; 99:4257-64. https://doi.org/10.1182/blood.V99.12.4257

Gursan N, Gondogdu C, Albayrak A, Kabalar ME. Immunohistochemical detection of progesterone receptors and the correlation with Ki-67 labelling indices in paraffin-embedded sections of meningioma's. Int J Neuroscience 2002; 112:463-70. https://doi.org/10.1080/00207450290025581

Nagashima G, Asai J, Suzuki R, Fujimoto T. Different distribution of c- myc and MIB-1 positive cells in malignant meningioma's with reference to TGFs, PDGF and PgR expression. Brain Tumor Pathol 2001; 18:15. https://doi.org/10.1007/BF02478918

Murakami M, Hashimotos N, Takahashi Y, Hosokawa Y, Inazawa J, Mineura K. A consistent region of deletion on 1p36 in meningioma's: identification and relation to malignant progression. Cancer Genet Cytogenetic 2003; 140:99-106. https://doi.org/10.1016/S0165-4608(02)00653-2

radiosurgery provides equivalent tumour control to Simpson Grade 1 resection for patients with small to medium size meningiomas. Int J Radiat Oncol Biol Phys 2003; 55:1000-5. https://doi.org/10.1016/S0360-3016(02)04356-0

Hostalot C, Carrasco A, Bilbao G, Pomposo I, Garibi JM. Meningiomas de la tienda del cerebelo. Revisión de nuestra casuística. Neurocirugía 2004; 15: 119-27. https://doi.org/10.1016/S1130-1473(04)70490-X

Cómo citar
Álvarez Pinzón, A. M. (2017). Evaluación clínica de meningioma intraventricular: reporte de caso paciente pediátrico y paciente adulto. Revista Med, 25(1), 78–86. https://doi.org/10.18359/rmed.2923
Publicado
2017-06-25
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Reporte de caso

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