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

## TL;DR

A young patient with long-term parkinsonian symptoms was found to have a meningioma, which was successfully removed and resolved the symptoms.

## Contribution

Highlights a rare case where meningioma presented as parkinsonism and was resolved through surgical removal.

## Key findings

- Parkinsonian symptoms persisted for four years without improvement from medical treatment.
- MRI identified a left intracranial meningioma, and surgical removal resolved the symptoms.
- The tumor and edema likely caused pressure affecting the basal ganglia perfusion.

## 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.