# 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.

## Key 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.