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Speech arrest caused by meningioma--two case reports
1Department of Neurosurgery, Shiga University of Medical Science, Ohtsu.
Neurologia Medico-Chirurgica
|October 22, 1998
Summary
Parasagittal meningiomas can cause speech disturbances and supplementary motor seizures. Surgical removal of these brain tumors effectively resolved the seizure episodes in affected patients.
Area of Science:
- Neuro-oncology
- Neurosurgery
- Epileptology
Background:
- Parasagittal and falx meningiomas are tumors that can occur along the dura mater.
- These tumors, while often benign, can exert mass effect and cause neurological symptoms.
- Speech disturbances and seizures are known, though less common, presentations.
Observation:
- Two female patients (22 and 46 years old) presented with recurrent supplementary motor seizures.
- Both patients were diagnosed with meningiomas located in the parasagittal region.
- Magnetic resonance imaging revealed tumor compression of the left supplementary motor area.
Findings:
- The meningiomas were identified as the cause of the supplementary motor seizures.
- Complete surgical resection of the tumors was performed.
- Post-operatively, the patients experienced no recurrence of their seizures.
Implications:
- This case series highlights the potential for parasagittal meningiomas to manifest as supplementary motor seizures.
- Surgical intervention, specifically total tumor removal, is an effective treatment for seizure resolution in these cases.
- Understanding this association can aid in the diagnosis and management of similar neurological presentations.