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Shrinking meningioma
  1. Jonathan Witherick1,
  2. Elizabeth F Brown2,
  3. Roswell J Martin3
  1. 1Department of Neurology, Southmead Hospital, Bristol, UK
  2. 2Department of Radiology, Gloucestershire Royal Hospital, Gloucester, UK
  3. 3Department of Neurology, Gloucestershire Royal Hospital, Gloucester, UK
  1. Correspondence to Jonathan Witherick, Department of Neurology, Gate 10, Southmead Hospital, Southmead Road, Westbury-on-Trym, Bristol BS10 5NB, UK; Jonathan.Witherick{at}nbt.nhs.uk

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Case history

A 75-year-old retired midwife presented with symptoms suggesting a simple partial seizure; clonus of the right leg and impaired function of the right arm of 15 min duration, followed by weakness of both limbs resolving within 60 min. Initial diagnostic workup included a contrast-enhanced CT scan of head that revealed a 53-mm left parietal meningioma arising from the falx cerebri. MR scan of brain showed invasion of the sagittal sinus with complete occlusion of venous blood flow. We started her on carbamazepine (subsequently switched to phenytoin) and referred to the regional neurosurgical unit. The risks of surgery …

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