{"id":"84195ff9-0457-47f8-ab94-f245a8dcec73","slug":"mysterious-meningioma-surviving-the-odds","title":"Mysterious meningioma: Surviving the odds","authors":["Vangala Bramhaprasad","Alugolu Rajesh","Ashish Kumar"],"abstract":"Background: Meningiomas are typically treated with surgical intervention, especially when symptomatic. This case presents a unique instance of a 62-year-old female patient with a left temporo-parietal meningioma who remained neurologically preserved for seven years without surgery despite significant imaging findings. Methods: The patient was evaluated through clinical history, neurological examination, and imaging studies, including CT scans performed initially in 2005 and again in 2011. The imaging revealed a well-defined extra-axial lesion with significant mass effect and midline shift. Results: Despite the increase in lesion size and associated symptoms such as increased seizure frequency and headache, the patient exhibited no focal deficits. This case highlights the potential for brain plasticity and compensatory mechanisms in patients with large meningiomas. Conclusion: This case underscores the importance of considering individual patient factors, such as age and neurological status, in the management of meningiomas. It challenges the conventional urgency for surgical intervention in cases with significant mass effect, suggesting that conservative management may be viable in select patients. Keywords: meningioma, neurosurgery, brain plasticity, conservative management, case report, seizures, imaging, mass effect","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/84195ff9-0457-47f8-ab94-f245a8dcec73/featured/hero-1782420936389.png","publishDate":"2013-02-27T00:00:00.000Z","doi":"10.4103/2152-7806.107907","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/84195ff9-0457-47f8-ab94-f245a8dcec73/pdf"}