Meningioma of the cavernous sinus in a child

Intracranial meningiomas in children are rare, representing. 1-4.2% of cent ral nervous system tumors and 1.5-1.8% of all intracranial meningiomas. Men ingiomas arising from the lateral wall of the cavernous sinus account For l ess than 1% of all intracranial meningiomas, To our knowledge, only one cas e of a meningioma arising from the cavernous sinus has been reported in chi ldhood. A 6-year-old boy presented with left ophthalmoplegia. A slight droo ping of the left eyelid was noted at the age of I year. Magnetic resonance imaging (MRI) with contrast administration revealed an enhancing mass lesio n located in the left cavernous sinus. The tumor, arising from the lateral wall of the cavernous sinus, was totally removed and the oculomotor nerve w as reconstructed with a sural nerve graft. MRI displayed total tumor remova l 1 month after the surgery, The pathological diagnosis was of a psammomato us meningioma.