Childhood meningiomas are unusual, and meningiomas in patients less th
an 1 year of age are exceedingly rare. We report a case of a meningiom
a with malignant histologic features in a 6-month-old child who has ha
d an excellent postoperative course. The pathologic features in relati
on to prognosis, as well as the magnetic resonance imaging characteris
tics of the case are presented. The literature is reviewed and implica
tions for therapeutic management are discussed.