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[Angiomatous meningioma and epilepsy in a 2.6-years-old girl]
R Sangermani1, C Arienta, M Tonella
1U.O. Pediatria e Patologia Neonatale H.S. Carlo Borromeo Milano.
Abstract:
A case of meningo-angiomatosis (MA), in a 2.6 -years-old girl with refractory focal and secondary generalized seizures, starting at the age of 2 years, is presented. MRI evaluation revealed a lesion located at the left temporal lobe; the patient underwent surgical intervention. Histology revealed the lesion to have the features of MA.
Insights
Meningo-angiomatosis (MA) is a rare brain lesion causing refractory seizures in a young girl. Surgical removal of the left temporal lobe lesion confirmed the diagnosis of MA.
Area of Science:
- Neurology
- Neurosurgery
- Pediatric Neurology
Background:
- Meningo-angiomatosis (MA) is a rare, benign vascular malformation of the central nervous system.
- It typically presents in children and young adults with neurological symptoms such as seizures.
- Refractory epilepsy is a common clinical manifestation, posing significant management challenges.
Observation:
- A 2.6-year-old girl presented with refractory focal and secondary generalized seizures, beginning at age 2.
- Magnetic Resonance Imaging (MRI) identified a lesion in the left temporal lobe.
- The patient underwent surgical resection of the identified lesion.
Findings:
- Histopathological examination of the resected lesion confirmed the diagnosis of meningo-angiomatosis (MA).
- The lesion exhibited characteristic features of MA, including proliferation of meningothelial and vascular elements.
Implications:
- This case highlights MA as a potential cause of refractory epilepsy in pediatric patients.
- Early diagnosis and surgical intervention may be crucial for seizure control in MA.
- Further research into the pathogenesis and optimal management of MA is warranted.
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