Parkinsonism Associated with Frontal Lobe Meningioma (A Report of Two Cases)

J Korean Neurol Assoc > Volume 10(1); 1992 > Article

Journal of the Korean Neurological Association 1992;10(1): 93-97.

전두엽 수막종과 연관된 파킨슨 증후군 2예

오건세, 조상걸,정항재,안무영,이광호,변박장

Parkinsonism Associated with Frontal Lobe Meningioma (A Report of Two Cases)

Gun-Sei Oh, M.D., Sang-Gull Cho, M.D., Hang-Jae Chung, M.D., Mu-Young Ahn, M.D., Kwang-Ho Lee, M.D., Bark-Jang Byun, M.D.

Department of neurology, College of medicine, Soonchunhyang university

Abstract

Parkinsonism is not commonly associated with intracranial tumors. The most common brain tumor causing parkinsonism is meningiomas. . We are presenting two cases of meningiomas whose major manifestations included parkinsonism. In one, parkinsonian symptoms initially partially responded to L-dopa and bromocriptine. A CT scan taken for a stroke-like episode revealed a meningioma of left frontal convexity. After neurological sequelae of CO poisoning, the patient poorly responded to antiparkinsonian drugs. Surgical treatment of meningioma did not result in satisfactory control of extrapyramidal symptoms. In the other with a parasagittal meningioma, parkinsonian symptoms were postoperatiYely improved. Because no curative treatment is available for the majority of parkinsonian patients, early detection of an underlying neoplasm may result in a most rewarding outcome. It would be desirable to perform CT or MRI in cases of parkinsonism with other associated neurological manifestation. Unilaterality of parkinsonian symptoms may also be indication.