Rana Abdul Qayyum, Yousuf Muhammad Saad, Hashmi Muhammad Zainuddin, Kachhvi Zakerabibi Mohammed
Parkinson's Clinic of Eastern Toronto, Canada.
Department of Biological Sciences, University of Toronto Scarborough Campus, Toronto, Canada.
J Neurosci Rural Pract. 2014 Jul;5(3):290-2. doi: 10.4103/0976-3147.133611.
Tumors originating from the meninges, also known as meningiomas, have rarely been known to cause parkinsonian symptoms and other movement disorders. Although some cases of AV malformations causing movement disorders have been described in the literature, not much has been reported about meningiomas in this regard. The aim of this case report is to further highlight the importance of brain imaging in patients with movement disorders for even a benign tumor; and also emphasize the need for a careful movement disorder examination because more than one phenomenology of movement disorders may result from the mechanical pressure caused by a tumor. We present a case report of a patient with a heavily calcified right frontal lobe meningioma. Our patient had irregular, involuntary, brief, fleeting and unpredictable movements of her left upper and lower extremities, consistent with chorea. The patient also had abnormal dystonic posturing of her left arm while walking. This case report highlights the importance of brain imaging as well as careful neurological examinations of patients with benign meningiomas. Moreover, it illustrates the remarkable specificity yet clinical diversity of meningiomas in presentation through movement disorders.
起源于脑膜的肿瘤，也称为脑膜瘤，很少会引起帕金森症状和其他运动障碍。虽然文献中描述了一些动静脉畸形导致运动障碍的病例，但关于脑膜瘤在这方面的报道并不多。本病例报告的目的是进一步强调脑成像对于患有运动障碍的患者（即使是良性肿瘤患者）的重要性；同时强调需要进行仔细的运动障碍检查，因为肿瘤引起的机械压迫可能导致不止一种运动障碍表现。我们报告一例患有严重钙化的右额叶脑膜瘤患者的病例。我们的患者左上肢和下肢出现不规则、不自主、短暂、快速且不可预测的运动，符合舞蹈症表现。患者在行走时左臂还出现异常的肌张力障碍姿势。本病例报告突出了脑成像以及对良性脑膜瘤患者进行仔细神经检查的重要性。此外，它还说明了脑膜瘤通过运动障碍表现出的显著特异性和临床多样性。
