# Pediatric Brain Tumors: A Case Report on the Rare Occurrence of Anaplastic Meningioma in a Young Child

## TL;DR

A five-year-old girl was diagnosed with a rare high-grade meningioma, highlighting the need for careful diagnosis and treatment in pediatric brain tumors.

## Contribution

This case report presents a rare instance of anaplastic meningioma in a young child with atypical clinical features.

## Key findings

- The patient exhibited exophthalmos, headaches, and seizures with imaging revealing a large extra-axial mass.
- Histological analysis confirmed an anaplastic meningioma (WHO grade 3) following subtotal surgical resection.
- The case emphasizes the importance of multidisciplinary management for high-grade meningiomas in children.

## Abstract

Meningiomas are uncommon in the pediatric population and often exhibit distinct characteristics compared to those in adult cases. We report the case of a five-year-old girl who presented with progressive right-sided exophthalmos, headaches, and seizures. Imaging revealed a large extra-axial mass in the right temporal region, extending into the cavernous sinus and orbital cavity. A subtotal surgical resection was performed, and histological examination confirmed an anaplastic meningioma, World Health Organization grade 3. The patient was referred for adjuvant radiotherapy. This case highlights the importance of recognizing atypical presentations in children and underscores the need for a multidisciplinary management approach in pediatric high-grade meningiomas.