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Meningioma presenting with transient ischaemic attacks.

C O Oluigbo¹, K A Choudhari, P Flynn

¹Department of Neurosurgery, Royal Victoria Hospital, Belfast BT12 6BA, UK.

British Journal of Neurosurgery

|April 1, 2005

Summary

A sphenoid wing meningioma presented like a transient ischaemic attack (TIA). This case highlights uncommon meningioma presentations and reviews potential mechanisms, aiding diagnosis.

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Area of Science:

Neurology
Neurosurgery
Oncology

Background:

Meningiomas are typically slow-growing tumors arising from the meninges.
Sphenoid wing meningiomas can present with diverse neurological symptoms.
Transient ischaemic attacks (TIAs) are characterized by temporary neurological deficits.

Observation:

A patient presented with symptoms strongly suggestive of a transient ischaemic attack.
Neuroimaging revealed a sphenoid wing meningioma as the underlying cause.
The tumor's location and characteristics mimicked cerebrovascular events.

Findings:

The sphenoid wing meningioma caused TIA-like symptoms through an atypical mechanism.
Review of literature suggests vascular compression or transient ischemia as potential causes.

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Diagnostic challenges arise from meningiomas mimicking other neurological conditions.

Implications:

This case underscores the importance of considering intracranial tumors in the differential diagnosis of TIA.
Enhanced neuroimaging interpretation is crucial for identifying rare meningioma presentations.
Understanding these mechanisms can improve diagnostic accuracy and patient outcomes for meningioma cases.