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Chronic Cephalalgia-Parkinsonism Complex Revealing a Meningioma in a Young Patient: A Case Report
Yasmina Zakaria1,2, Soukaina Benlamkadam1,2, Hamidou Guillaume Turpin3
1Neurology, Mohammed VI University Hospital, Marrakesh, MAR.
Abstract:
The emergence of parkinsonism in a patient with an intracranial meningioma is indeed an uncommon occurrence. Here, we detail the case of a patient experiencing parkinsonian syndrome for four years without any observable clinical improvement following medical treatment. A magnetic resonance imaging (MRI) of the brain revealed a left intracranial meningioma. The successful complete surgical removal of the tumor led to the resolution of parkinsonian syndrome. The extent of the neoplasm and the surrounding peritumoral edema could potentially exert significant pressure, thereby compromising perfusion in the basal ganglia region. This clinical case serves as an exemplar, emphasizing the criticality of identifying specific red flags that necessitate further clinical investigations in the context of parkinsonian syndrome.
Insights
Parkinsonian syndrome can rarely be caused by an intracranial meningioma. Surgical removal of the brain tumor resolved the patient's long-standing parkinsonism, highlighting the need for thorough investigation.
Area of Science:
- Neurology
- Neurosurgery
- Oncology
Background:
- Parkinsonism is a complex neurological disorder.
- Intracranial meningiomas are typically benign brain tumors.
- The co-occurrence of parkinsonism and meningioma is rare.
Observation:
- A patient presented with a four-year history of parkinsonian syndrome unresponsive to medical treatment.
- Brain magnetic resonance imaging (MRI) revealed a left intracranial meningioma.
Findings:
- Complete surgical resection of the meningioma led to the complete resolution of the patient's parkinsonian syndrome.
- The tumor's size and associated peritumoral edema likely caused pressure on the basal ganglia, affecting perfusion.
Implications:
- This case underscores the importance of considering intracranial tumors in the differential diagnosis of unexplained parkinsonism.
- Identifying specific clinical red flags is crucial for timely diagnosis and intervention in parkinsonian syndrome.
- Surgical intervention for meningioma can potentially reverse neurological deficits like parkinsonism.
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