Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Sphenoid Ridge Meningioma Presenting as Acute Cerebral Infarction

  • Ko, Jun Kyeung (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) ;
  • Cha, Seung Heon (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) ;
  • Choi, Chang Hwa (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital)
  • Received : 2013.10.11
  • Accepted : 2014.01.15
  • Published : 2014.02.28
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Abstract

A previously healthy 52-year-old man presented to the emergency room with acute onset left hemiparesis and dysarthria. Brain computed tomography and magnetic resonance examinations revealed acute cerebral infarction in the right middle cerebral artery territory and a sphenoid ridge meningioma encasing the right carotid artery terminus. Cerebral angiography demonstrated complete occlusion of the right proximal M1 portion. A computed tomography perfusion study showed a wide area of perfusion-diffusion mismatch. Over the ensuing 48 hours, left sided weakness deteriorated despite medical treatment. Emergency extracranial-intracranial bypass was performed using a double-barrel technique, leaving the tumor as it was, and subsequently his neurological function was improved dramatically. We present a rare case of sphenoid ridge meningioma causing acute cerebral infarction as a result of middle cerebral artery compression.

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References

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