8-10% of intracranial neoplasms in children are ependymomas. These are among the most common of the intraventricular tumours, along with choroids plexus tumours and colloid cysts. There is a bimodal age distribution. The first peak is for children under five years old and the second for adults between the ages of 20-40 years.
The median age of diagnosis of pediatric ependymomas is three to four years of age, with younger children, less than three to five years, having a less favourable outcome, particularly in posterior fossa ependymomas. Only 4% of pediatric ependymoma patients are older than 15 years.
There is a slight female predominance, with 64% of all intracranial brain tumors presenting in females.
Table 1. Frequency of Ependymomas and Tumour Features
| Proportion of Pediatric Neoplasms |
8-10% |
| Median Age, all ependymomas |
22 years |
| Median Age, pediatric ependymomas |
3-4 years |
| Pediatric Patients < 5 years |
60% |
| Pediatric Patients > 15 years |
4% |
| Racial Bias |
None |
| Gender Bias |
3:2 (female predominance) |