The relation between the presence of a giant primary ovarian leiomyoma and the occurrence of epilepsy as a paraneoplastic syndrome.
BACKGROUND
Primary ovarian leiomyoma is a quite rare tumor and usually it is small and unilateral. Most cases are asymptomatic. This benign tumor is usually diagnosed incidentally on routine pelvic examination or in pathologic specimens at surgery or at autopsy.


METHODS
In this case, a patient with her first epileptic seizure was admitted to our emergency department. Following the initial treatment in neurology clinics, patient claimed of an abdominal pain, so by abdominal ultrasonography, it was determined that the patient had a giant abdominal mass measured 30 x 28 x 15 cm in diameter which was clinically diagnosed as malign ovarian tumor.


CONCLUSIONS
At laparotomy, a radical hysterectomy was performed. It was reported as ovarian leiomyoma on pathological evaluation. After 15 days of surgery, patient is discharged without any complications and also no more epileptic seizures.
Yumru
A Ender
AE
Department of Obstetrics and Gynecology, Taksim Education and Research Hospital, Istanbul, Turkey.
Bozkurt
Murat
M
Ayanoğlu
Y Tahsin
YT
Ayhan
Imran
I
Inci Coşkun
Ebru
E
Battal Havane
Semiha
S
D004827:Epilepsy / Q000209:etiology*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000473:pathology; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications* / Q000473:pathology; D010257:Paraneoplastic Syndromes / Q000209:etiology*