Maaz Jose, Diaz Carlos, Orellana Marcos, Caravantes Ricardo A
Department of Medical Research, Universidad Francisco Marroquin, 6ta Calle Final Zona 10, Guatemala City 01010, Guatemala.
Oxf Med Case Reports. 2025 Jul 27;2025(7):omaf116. doi: 10.1093/omcr/omaf116. eCollection 2025 Jul.
We report the case of a 62-year-old male presenting with progressive gait disturbances, recurrent syncope, and episodes of myoclonic epilepsy over three months, with underlying sporadic Pick's disease diagnosed clinically. Imaging revealed a well-defined, extra-axial tumor in the right parietal region, consistent with a meningioma. Surgical intervention using neuronavigation technology facilitated a complete tumor resection. The patient's postoperative course was stable, with a resolution of syncope and improvement in gait. This case underscores the importance of interdisciplinary management in patients with overlapping neurological conditions and highlights the challenges posed by multifaceted clinical presentations.
我们报告了一例62岁男性患者,其在三个月内出现进行性步态障碍、反复晕厥和肌阵挛性癫痫发作,临床诊断为潜在的散发性皮克病。影像学检查显示右顶叶区域有一个边界清晰的轴外肿瘤,符合脑膜瘤表现。使用神经导航技术进行手术干预实现了肿瘤的完整切除。患者术后病情稳定,晕厥症状消失,步态有所改善。该病例强调了对合并神经系统疾病患者进行多学科管理的重要性,并突出了多方面临床表现所带来的挑战。