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慢性头痛-帕金森综合征在一名年轻患者中揭示了脑膜瘤:病例报告

Chronic Cephalalgia-Parkinsonism Complex Revealing a Meningioma in a Young Patient: A Case Report.

作者信息

Zakaria Yasmina, Benlamkadam Soukaina, Turpin Hamidou Guillaume, Kissani Najib, Chraa Mohamed

机构信息

Neurology, Mohammed VI University Hospital, Marrakesh, MAR.

Neuroscience, Neuroscience Laboratory, Faculté de Médecine et de Pharmacie de Marrakech (FMPM), Marrakesh, MAR.

出版信息

Cureus. 2024 Mar 14;16(3):e56144. doi: 10.7759/cureus.56144. eCollection 2024 Mar.

Abstract

The emergence of parkinsonism in a patient with an intracranial meningioma is indeed an uncommon occurrence. Here, we detail the case of a patient experiencing parkinsonian syndrome for four years without any observable clinical improvement following medical treatment. A magnetic resonance imaging (MRI) of the brain revealed a left intracranial meningioma. The successful complete surgical removal of the tumor led to the resolution of parkinsonian syndrome. The extent of the neoplasm and the surrounding peritumoral edema could potentially exert significant pressure, thereby compromising perfusion in the basal ganglia region. This clinical case serves as an exemplar, emphasizing the criticality of identifying specific red flags that necessitate further clinical investigations in the context of parkinsonian syndrome.

摘要

颅内脑膜瘤患者出现帕金森症确实是一种罕见的情况。在此,我们详细介绍一名患有帕金森综合征四年的患者,经药物治疗后未观察到任何临床改善。脑部磁共振成像(MRI)显示左侧颅内脑膜瘤。肿瘤成功完全切除后,帕金森综合征得到缓解。肿瘤的范围和周围的瘤周水肿可能会施加显著压力,从而影响基底节区的灌注。这个临床病例作为一个范例,强调了在帕金森综合征背景下识别需要进一步临床调查的特定警示信号的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7876/11015870/693eb3d8965f/cureus-0016-00000056144-i01.jpg

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