Seamless meningioma resection in a patient with coexisting myoclonic epilepsy and sporadic Pick’s disease

TL;DR

A 62-year-old man with myoclonic epilepsy and Pick’s disease underwent successful meningioma surgery, showing the importance of interdisciplinary care.

Contribution

This case highlights the successful surgical management of a meningioma in a patient with complex overlapping neurological conditions.

Findings

Neuronavigation technology enabled complete meningioma resection in a patient with sporadic Pick’s disease.

Postoperative outcomes showed resolution of syncope and improved gait.

The case emphasizes the need for interdisciplinary approaches in complex neurological presentations.

Abstract

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.

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