J Korean Neurosurg Soc.  1977 Jun;6(1):187-194.

A Large Convexity Meningioma Close to Motor Area of Dominant Hemisphere

• Kim HK
• Oh SC
• Kim JS
• Yoo YR
• Kim NK
• Chung HY

Abstract

A huge convexity meningioma close to motor area of the dominant hemisphere was resected completely without any complications and Sequelae. A 50-year-old male patient who has been suffered from dysphasia, focal seizure, recent memory impairment and weakness of the right upper extremity for about three months was admitted to our neurosurgical department on March, 1977. Before admission, he had been treated with acupuncture and conservative managements under the diagnosis of arteriosclerotic cerebral thrombosis at certain famous university hospitals. On examination, he was mentally clear but moderately dysphasic : there were central type of right facial palsy and weakness of right upper extremity with intact sense. Extensor type of plantar response on the right was noted and fundoscopic examination was impossible due to bilateral cataract. Tc-99m pertechnetate brain scan and left carotid angiogram suggested large space occupying lesion of the left parietotemporal area and so large craniotomy on the left side was performed and through this huge meningioma was resected from the left cerebral convexity adjacent motor area without any damage to the cerebral cortex and vessels. After operation, his neurological deficits were improved markedly without any seguelae and complications and he was discharged at the day of third week of operation. Repeated neurological examination on discharge day revealed slightest right facial palsy, no dysphasia, no motor weakness and no any complications and sequelae.

MeSH Terms

Acupuncture
Aphasia
Brain
Cataract
Cerebral Cortex
Craniotomy
Diagnosis
Facial Paralysis
Hospitals, University
Humans
Intracranial Thrombosis
Male
Memory
Meningioma*
Middle Aged
Neurologic Examination
Seizures
Sodium Pertechnetate Tc 99m
Upper Extremity
Sodium Pertechnetate Tc 99m