Two pediatric cases of high dose radiation-induced meningiomas

There have been many reports of low dose radiation-induced meningiomas, and the number of reports of high dose radiation-induced meningiomas has been increasing recently. In this report, we present two cases of pediatric radiation-induced meningiomas, one 14 years after 36 Gy of radiation therapy for medulloblastoma and the other 8 years after 20 Gy of local radiation therapy for germinoma. Both patients underwent surgical removal of the meningiomas. The case of medulloblastoma was later revealed to be basal cell phacomatosis syndrome. Basal cell phacomatosis syndrome is a disease that occurs as a result of abnormality of chromosome 9. We speculate that the occurrence of radiation-induced meningioma may have been related to the basic genetic vulnerability of the patients. (author)