Intraventricular chordoid meningioma in a child: fever of unknown origin, clinical course, and response to treatment.
The authors present the case of an 11-year-old boy with an intraventricular chordoid meningioma, which is a rare presentation of prolonged fever of unknown origin due to a rare tumor in a rare location. The fever resolved after excision of the lesion. Subsequent imaging revealed recurrence at 1 year. After a repeat excision and fractionated radiotherapy, the patient has remained disease free 5 years after the first surgery. Very few cases of intraventricular chordoid meningioma have been reported to date. The pathological features and clinical course are described. A review of the literature describing management options for this tumor type, recently found to have a higher recurrence rate, is described herein.
Department of Neurosurgery, Amrita College of Medicine, Kochi, Kerala, India.
Ajit
A
Nambiar
Ashok
A
Pillai
Chirag
C
Parmar
Dilip
D
Panikar
D002648:Child; D003287:Contrast Media; D019583:Dose Fractionation, Radiation; D005335:Fever of Unknown Origin / Q000209:etiology; D005682:Gadolinium; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008577:Meningeal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D008579:Meningioma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D009672:Notochord; D018714:Radiotherapy, Adjuvant; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D003287:Contrast Media; D005682:Gadolinium