Hemiparkinsonism secondary to sphenoid wing meningioma

Kleib, A.S.; Sid’Ahmed, E.; Salihy, S.M.; Boukhrissi, N.; Diagana, M.; Soumaré, Outouma

doi:10.1016/j.neuchi.2016.06.002

Cited by 6 publications

(11 citation statements)

References 7 publications

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“…Nonetheless, atypical symptoms have been described in the literature, including cognitive impairment, intracranial hemorrhage, and parkinsonian features. [7][8][9]11 To our knowledge, this is the first report to describe SSNHL as the initial presentation of a patient with sphenoid wing meningioma.…”

Section: Discussionmentioning

confidence: 98%

“…Thus far, only a small number of cases have reported atypical presentations of sphenoid wing meningioma, including intracranial hemorrhage, cognitive deficits, and hemiparkinsonism. [7][8][9]13,18…”

Section: Discussionmentioning

confidence: 99%

“…Thus far, only a handful atypical presentations have been reported in the literature, including cognitive impairment, intracerebral hemorrhage, and parkinsonian features. [7][8][9] In this report, we describe another unique manifestation of sphenoid wing meningioma: sudden sensorineural hearing loss (SSNHL) and ear pain.…”

Section: Introductionmentioning

confidence: 99%

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Sphenoid Wing Meningioma Presenting as Sudden Sensorineural Hearing Loss: A Case Report and Literature Review

et al. 2020

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Sphenoid wing meningiomas are tumors that typically present with vision deterioration and neurological changes due to their proximity to the sella, cavernous sinus, and other vital structures. Some unusual symptoms have also been described in the literature, such as cognitive dysfunction, parkinsonism, and intracerebral hemorrhage. In this report, we detail another unusual case of sphenoid wing meningioma in a 63-year-old female who presented with left sudden sensorineural hearing loss. A brief review of the literature is also included.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Sphenoid Wing Meningioma Presenting as Sudden Sensorineural Hearing Loss: A Case Report and Literature Review

et al. 2020

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“…Les troubles visuels étaient la cécité 3,12% et l'exophtalmie 9,37%, car les patients consultaient tardivement, surtout ceux habitant l'intérieur du pays. Les tumeurs intracrâniennes sont une cause rare de parkinsonisme secondaire [21-23]. La TDM représente un moyen diagnostique fiable des méningiomes, puisque selon Osborn [24] le scanner sans contraste détecte 85% des méningiomes et 95% après injection iodée.…”

Section: Discussionunclassified

Prise en charge chirurgicale des méningiomes intracrâniens à Nouakchott, Mauritanie

et al. 2018

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Les méningiomes constituent une pathologie couramment rencontrée en neurochirurgie, pourtant les données sur leur épidémiologie, leurs caractéristiques cliniques et leur prise en charge thérapeutique restent rares par rapport aux gliomes. Notre but est de dégager un profil épidémiologique et d'évaluer la qualité de la prise en charge des méningiomes intracrâniens (MIC) au CHN de Nouakchott, Mauritanie. Nous avons revu dans cette étude rétrospective, les observations des patients opérés d'un MIC, entre septembre 2013 et septembre 2016. Trente-deux patients ont été opérés d'un MIC (26,6%). L'âge moyen était de 45,12 ans (± 13,8 ans) dont 75% étaient des femmes. La durée moyenne d'hospitalisation était de 13 jours (± 7jours). Le délai avant le diagnostic était en moyenne de 10 mois (± 5mois). La taille moyenne des MIC était de 5,07 cm (± 2,00cm) avec des extrêmes allant de 2,5cm à 10,5cm. L'IRM a été réalisée chez 46,8% en complément de la TDM cérébrale. Dans notre série 38% des MIC sont localisés sur la convexité. Le délai d'attente opératoire était de 23.91 jours (±17jours). La qualité d'exérèse chirurgicale selon le score de Simpson était de Grade I (66%), Grade II: (19%), Grade III: (6%), Grade IV: (9%). Le type histologique de la classification de l'OMS 2007 était de Garde I (93%), Grade II-III (7%). La mortalité opératoire globale était de n=3 ; 9,4%. Le perfectionnement des plateaux techniques dans le service de neurochirurgie, de radiologie et d’anesthésie-réanimation prochainement va contribuer à l'amélioration de nos résultats et à la diminution de notre taux de mortalité.

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“…2 One possible and rare cause of hemiparkinsonism is direct mechanical compression of the basal ganglia. [3][4][5][6] Different spaceoccupying lesions causing parkinsonism have been described in the literature: tumors, large arachnoid cysts, giant aneurysms, and chronic subdural hematoma. [3][4][5][6] Here, we present a rare case of a large lateral sphenoid wing meningioma causing hemiparkinsonism.…”

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confidence: 99%

Hemiparkinsonism caused by a lateral sphenoid wing meningioma, with tractography analysis: illustrative case

Saemann¹,

Busch²,

Taub³

et al. 2023

Journal of Neurosurgery: Case Lessons

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BACKGROUND The etiologies of parkinsonism are diverse. A possible and rare cause of hemiparkinsonism is mechanical compression of the basal ganglia and its connecting white matter tracts. The authors present a case of hemiparkinsonism caused by a lateral sphenoid wing meningioma, discuss the underlying pathophysiology based on tractography, and systematically review the existing literature. OBSERVATIONS A 59-year-old female was referred for a left-sided tremor of the hand, accompanied by a cogwheel rigidity of the left arm. Symptomatology appeared 1 year earlier and worsened in the previous 6 months, finally also showing involvement of the left leg. Magnetic resonance imaging (MRI) showed a space-occupying suspected meningioma originating from the right lateral sphenoid wing and compressing the ipsilateral striatum. Tractography studies contributed to elucidate the underlying pathophysiology. Resection of the meningioma could be performed without complications. At the 4-month follow-up, the patient’s hemiparkinsonism had completely recovered. LESSONS An intracranial space-occupying lesion may be a rare cause of hemiparkinsonism. In new-onset parkinsonism, especially if a secondary form is suspected, brain MRI should be performed promptly to avoid misdiagnosis and treatment. Tractography studies help understand the underlying pathophysiology. After surgical decompression of the affected structures, symptoms can recover completely.

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Hemiparkinsonism secondary to sphenoid wing meningioma

Cited by 6 publications

References 7 publications

Sphenoid Wing Meningioma Presenting as Sudden Sensorineural Hearing Loss: A Case Report and Literature Review

Sphenoid Wing Meningioma Presenting as Sudden Sensorineural Hearing Loss: A Case Report and Literature Review

Prise en charge chirurgicale des méningiomes intracrâniens à Nouakchott, Mauritanie

Hemiparkinsonism caused by a lateral sphenoid wing meningioma, with tractography analysis: illustrative case

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