Hidden Culprit: Stroke-Like Presentation and Seizure Reveal Parasagittal Meningioma: A Case Report

In the acute neurology setting, stroke presentations are considered common relative to other diagnoses, especially among multimorbid elderly presenting with acute neurological changes. Clinicians tend to underestimate the possibility of other rare diagnoses such as brain tumors.

Here we present a case report of an 80-year-old female who presented to the emergency department, she exhibited a seizure and stroke-like symptoms, including confusion, loss of consciousness, and slurred speech. Initial clinical assessments suggested a cerebrovascular event; however, neuroimaging later revealed a parasagittal meningioma as the cause of the symptoms.

This case underscores the necessity of including brain tumors such as meningiomas in the differential diagnosis for elderly patients presenting with symptoms resembling cerebrovascular events.