Ipsilateral motor symptoms caused by a right pterional meningioma.
The case is reported of a patient bearing a pterional meningioma on the right (non-dominant) side manifesting with ipsilateral motor symptoms, completely recovered after tumor removal. The occurrence of ipsilateral sensory and/or motor symptoms, probably due to direct or indirect involvement of the sensory/motor secondary areas of the insula of Reil, may be misleading in diagnosis because of apparent incongruity between clinical presentation and radiological findings. Only seven cases of such a condition, all localized on the left (dominant) side, have been previously reported.
Spaziante
R
R
Department of Functional Neurosurgery, 2nd Faculty of Medicine, University of Naples, Italy.
Cappabianca
P
P
Carrabs
G
G
Irace
C
C
de Divitiis
E
E
D002540:Cerebral Cortex / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D004292:Dominance, Cerebral / Q000502:physiology*; D005260:Female; D006429:Hemiplegia / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D008577:Meningeal Neoplasms / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D008579:Meningioma / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D008875:Middle Aged; D009132:Muscles / Q000294:innervation; D009460:Neurologic Examination; D014057:Tomography, X-Ray Computed