[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.

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.

Related Concept Videos

Epilepsy and Seizures: Overview01:24

Epilepsy and Seizures: Overview

Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Seizures: Classification01:13

Seizures: Classification

Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Seizures l: Introduction01:20

Seizures l: Introduction

Understanding seizures and epilepsy relies on key definitions that help in recognizing, classifying, and managing these disorders. These definitions provide a framework for recognizing, classifying, and managing seizure disorders.DefinitionsA seizure is a sudden, abnormal burst of electrical activity in the brain that can cause changes in awareness, movement, sensation, or behavior, depending on the area involved. Epilepsy is a chronic condition characterized by recurrent, unprovoked seizures,...
Epilepsy ll: Types01:22

Epilepsy ll: Types

Recurrent seizures, stemming from abnormal electrical activity in the brain, are the defining characteristic of epilepsy, a chronic neurological condition. Because seizure features vary greatly, epilepsy is classified using two systems: by seizure type and by epilepsy syndromes. These classifications enable clinicians to describe seizure patterns and select suitable treatment strategies.I. Classification by Seizure Type1. Focal EpilepsyFocal epilepsy begins in one hemisphere of the brain.