Sudan Journal of Medical Sciences

ISSN: 1858-5051

High-impact research on the latest developments in medicine and healthcare across MENA and Africa

Meningiomatosis Restricted to the Left Cerebral Hemisphere Presenting with Frontal Lobe Seizure: A Short Communication

Published date:Dec 31 2024

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 19 (2024), Issue No. 4

Pages:547 – 550

DOI: 10.18502/sjms.v19i4.9264

Authors:

Biniyam A. Ayelebiniyam.a7@gmail.comDepartment of Neurology, CHS, Addis Ababa University, Addis Ababa, Ethiopia

Hilina Dagnachewhilina29dag@gmail.comDepartment of Neurology, CHS, Addis Ababa University, Addis Ababa, Ethiopia

Meskerem Nimaninimamesk@gmail.comZewditu Memorial Hospital (ZMH), Addis Ababa, Ethiopia

Medical Doctor

Jarsso Tadesse Hirbujaturku@yahoo.comDepartment of Internal Medicine, Dilla University, Dilla, Ethiopia

Abstract:

Seizures are a common clinical feature of benign intracranial brain tumors such as meningioma. Although seizures are cortical phenomena that typically originate from lesions affecting cortical neurons, meningiomas, which arise from the meningeal lining, can still induce seizures due to their proximity to the cerebral cortex. However, the relationship between multiple meningiomas and frontal lobe seizures remains underexplored. We present the case of a 42-year-old woman without neurofibromatosis who experienced global headaches and nocturnal motor seizure involving the right hemi body, associated with loss of consciousness. The motor fits frequently occur at night. Brain magnetic resonance image (MRI) and electroencephalograph (EEG) show multiple meningioma and left frontal epileptogenic focus, respectively. The patient was managed conservatively with anticonvulsant.

Keywords: meningiomatosis, seizure, frontal lobe, Ethiopia

References:

[1] Koech, F., Orege, J., Ndiangui, F., Macharia, B., & Mbaruku, N. (2013). Multiple intracranial meningiomas: A review of the literature and a casereport. Case Reports in Surgery, 2013, 131962. https://doi.org/10.1155/2013/131962

[2] Ohla, V., & Scheiwe, C. (2015). Meningiomatosis restricted to the left cerebral hemisphere with acute clinical deterioration: Case presentation and discussion of treatment options. Surgical Neurology International, 6(1), 64. https://doi.org/10.4103/2152- 7806.155447

[3] Goldbrunner, R., Minniti, G., Preusser, M., Jenkinson, M. D., Sallabanda, K., Houdart, E., von Deimling, A., Stavrinou, P., Lefranc, F., Lund-Johansen, M., Moyal, E. C., Brandsma, D., Henriksson, R., Soffietti, R., & Weller, M. (2016). EANO guidelines for the diagnosis and treatment of meningiomas. The Lancet. Oncology, 17(9), e383–e391. https://doi.org/10.1016/S1470- 2045(16)30321-7

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[5] Ben Ousmanou, D., Karekezi, C., Moussé, N., Doleagbenou, A. K., Gana, R., El Abbadi, N., . . .. (2014). Intracranial meningioma multiple: Experience of neurosurgery avicenna chu rabat - salé, about 4 cases and review of the literature. The Pan African Medical Journal, 18, 1–5.

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[7] Pauletto, G., Nilo, A., Pez, S., Zonta, M. E., Bagatto, D., Isola, M., Verriello, L., Valente, M., Skrap, M., & Ius, T. (2023, July 11). Meningioma-related epilepsy: A happy ending? Journal of Personalized Medicine, 13(7), 1124. https://doi.org/10.3390/jpm13071124

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