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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 …
Contributors JW: original draft of paper, revision of paper following editorial contribution of coauthors, preparation of the figure; EFB: radiological analysis of case and provision of imaging description and parameters; RJM: editing of article, final approval of article to be published.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review. Not commissioned; externally peer reviewed. This paper was reviewed by Jeremy Rees, London, UK.